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

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.

Keywords:
case reportdecompressiondelayed complicationsdelayed spinal epidural hematomafactor XIII deficiencyspinal epidural hematomaspine surgerythoracic OPLLthoracic ossification of the posterior longitudinal ligament

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