Delayed Postoperative Spinal Epidural Hematoma After Thoracic OPLL Surgery: A Case Report and Literature Review
Hayato Takei1, Tetsuro Ohba1, Nobuki Tanaka1
1Department of Orthopaedic Surgery University of Yamanashi Yamanashi Japan.
Clinical Case Reports
|January 7, 2026
Abstract
None:
New axial pain with rapid neurological decline weeks after surgery for thoracic ossification of the posterior longitudinal ligament may signal delayed postoperative epidural hematoma. Immediate MRI and urgent decompression are critical. Consider occult clot-stabilization defects such as factor XIII deficiency when routine coagulation tests are normal.


