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Related Experiment Video

Updated: Jun 19, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Cervical epidural hematoma after chiropractic spinal manipulation.

Jason D Heiner¹

¹Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, WA 98431, USA. jasonheiner@hotmail.com

The American Journal of Emergency Medicine

|October 28, 2009

Summary

Spinal epidural hematoma is a rare complication of spinal manipulation. This case report details a pregnant woman

Area of Science:

Neurology
Neurosurgery
Obstetrics

Background:

Spinal manipulation therapy (SMT) is a common treatment for back pain.
Spinal epidural hematoma (SEH) is a rare but serious complication associated with SMT.
Pregnancy presents unique considerations for managing SEH due to potential risks to both mother and fetus.

Observation:

A healthy, pregnant female presented with acute neurological deficits.
The patient reported recent chiropractic spinal manipulation therapy.
Magnetic resonance imaging confirmed a cervical spinal epidural hematoma.

Findings:

The cervical spinal epidural hematoma was successfully managed conservatively.
Surgical intervention, typically the standard of care, was not required.

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Last Updated: Jun 19, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

The patient experienced a favorable outcome with non-operative management.

Implications:

This case highlights the importance of considering conservative management for SEH in pregnant patients.
It suggests that not all SEH cases necessitate surgical decompression, even in pregnancy.
Further research is warranted to establish evidence-based guidelines for managing SEH in pregnant individuals undergoing SMT.