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Spinal hematoma after total knee arthroplasty: a case report
G Cortina1, M Collarile2, V Condello2
1Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Rome, Italy.
Journal of Surgical Case Reports
|September 1, 2021
Summary
Spinal anesthesia complications are rare but can cause severe neurological damage. Prompt diagnosis and surgical decompression of acute spinal hematoma are crucial for rapid recovery and preventing permanent paralysis.
Area of Science:
- Anesthesiology
- Neurosurgery
- Orthopedic Surgery
Background:
- Spinal anesthesia is a widely used and generally safe anesthetic technique for orthopedic procedures.
- While rare, complications such as spinal hematoma can lead to devastating neurological deficits, including paralysis.
Observation:
- A case of acute spinal hematoma (T11-L3) occurred following a challenging spinal anesthesia puncture during total knee arthroplasty.
- The patient experienced neurological symptoms necessitating urgent intervention.
Findings:
- Early diagnosis of the acute spinal hematoma was established.
- Prompt surgical decompression was performed within hours of diagnosis.
Implications:
- Timely surgical intervention for spinal hematoma following anesthesia can lead to rapid functional recovery.
- Aggressive management can prevent permanent neurological damage such as paraplegia.
Keywords:
acute spinal hematomapuncture-related complicationrapid recoverytimely surgical decompression
