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Delayed neurological dysfunction following posterior laminectomy with lateral mass screw fixation: A case report and review of literature by Rui-Zhong Yan; Chao Chen; Chu-Ran Lin; Yan-Hui Wei; Zhi-Jian Guo; Ya-Kun Li; Quan Zhang; He-Yi Shen; Hao-Lin Sun is a Medicine article available to read on EtoBox.
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## BACKGROUND While most complications of cervical surgery are reversible, some, such as symptomatic postoperative spinal epidural hematoma (SEH), which generally occurs within 24 h, are associated with increased morbidity and mortality. Delayed neurological dysfunction is diagnosed in cases when symptoms present > 3 d postoperatively. Owing to its rarity, the risk factors for delayed neurological dysfunction are unclear. Consequently, this condition can result in irreversible neurological deficits and serious consequences. In this paper, we present a case of postoperative SEH that developed three days after hematoma evacuation. ## CASE SUMMARY A 68-year-old man with an American Spinal Injury Association (ASIA) grade C injury was admitted to our hospital with neck pain and tetraplegia following a fall. The C3-C7 posterior laminectomy and the lateral mass screw fixation surgery were performed on the tenth day. Postoperatively, the patient showed no changes in muscle strength or ASIA grade. The patient experienced neck pain and subcutaneous swelling on the third day postoperatively, his muscle strength decreased, and his ASIA score was grade A. Magnetic resonance imaging showed hypoi
Who reads Delayed neurological dysfunction following posterior laminectomy with lateral mass screw fixation: A case report and review of literature?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Rui-Zhong Yan; Chao Chen; Chu-Ran Lin; Yan-Hui Wei; Zhi-Jian Guo; Ya-Kun Li; Quan Zhang; He-Yi Shen; Hao-Lin Sun
- Publisher
- Baishideng Publishing Group Inc
- Published
- 2024
- Language
- EN
- Field
- Medicine (Health Sciences)