دورية أكاديمية
Psoas Hematoma After Posterior Lumbar Interbody fusion: A Case Report and Literature Review
| العنوان: | Psoas Hematoma After Posterior Lumbar Interbody fusion: A Case Report and Literature Review |
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| المؤلفون: | Guan Shi PhD, Liang Zhang PhD, Hao Chen PhD, Tianhao Su MD, Pu Jia PhD, Fei Feng MD, Mengmeng Chen PhD, Li Bao PhD |
| المصدر: | Geriatric Orthopaedic Surgery & Rehabilitation, Vol 14 (2023) |
| بيانات النشر: | SAGE Publishing, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Orthopedic surgery LCC:Geriatrics |
| مصطلحات موضوعية: | Orthopedic surgery, RD701-811, Geriatrics, RC952-954.6 |
| الوصف: | Introduction This article introduced the management of a case with severe left lower extremity pain and forced hip flexion after posterior lumbar interbody fusion and a final diagnosis of left psoas hematoma. Materials and methods Here we reported a case of a 65-year-old female received posterior lumbar interbody fusion (PLIF) for L4-L5 spondylolisthesis and L4 instability. On the postoperative day one, the hemoglobin level decreased from 108 g/L to 78 g/L. Meanwhile, the patient presented low back pain and inner thigh radiating pain (VAS pain scale = 8). The pain was so severe that it could be barely relieved by keeping left hip in flexion position. On the postoperative day 6, the pain was still severe even after taking mecobalamin, ankylosaurus, dehydrant agents and central pain relievers(VAS pain scale = 9). Computed Tomography indicated a left intramuscular hematoma image extending down to the left iliac fossa. Active hemorrhage of lumbar segmental arterial was detected by B-ultrasound. The patient then received vascular embolization under angiography on the postoperative day 7. Results The pain in the low back and inner thigh were significantly relieved after the procedure (VAS3-4). On the postoperative day nineteen, the left hip can be fully extended, but the patient was still not able to stand on left leg without a walking stick. On the postoperative day 27, she was able to walk independently. Discussion The main reason for the complication was the second conical dilation channel slipped and entered the lateral side of the vertebral body along the transverse process. After timely embolization, pain was significantly relieved and muscle strength was improved. Conclusions Angiographic embolization is an effective treatment for psoas hematoma after posterior lumbar interbody fusion. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2151-4593 21514593 |
| العلاقة: | https://doaj.org/toc/2151-4593Test |
| DOI: | 10.1177/21514593231158277 |
| الوصول الحر: | https://doaj.org/article/b74618aee07145f696abd40a47ba781cTest |
| رقم الانضمام: | edsdoj.b74618aee07145f696abd40a47ba781c |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 21514593 |
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| DOI: | 10.1177/21514593231158277 |