胸椎後縦靭帯骨化症（OPLL）手術後の遅発性脊椎硬膜外血腫：症例報告と文献レビュー

Hayato Takei¹, Tetsuro Ohba¹, Nobuki Tanaka¹

¹Department of Orthopaedic Surgery University of Yamanashi Yamanashi Japan.

|January 7, 2026

Abstract:

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.

キーワード:

症例報告減圧術遅発性合併症遅発性脊椎硬膜外血腫第XIII因子欠乏症脊椎硬膜外血腫脊椎手術胸椎OPLL 胸椎後縦靭帯骨化症

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