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CASE REPORT article

Front. Med.
Sec. Geriatric Medicine
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1499630
This article is part of the Research Topic Management of Spine Pathologies in Geriatric Patients View all 5 articles

Multilevel Subdural and Epidural Hematoma after percutaneous kyphoplasty (PKP): A case report and literature review

Provisionally accepted
Hailong Liu Hailong Liu *Fuyuan Deng Fuyuan Deng
  • People’s Hospital of Deyang City, Deyang, China

The final, formatted version of the article will be published soon.

    Background: Serious complications such as intraspinal hematoma after percutaneous kyphoplasty(PKP) are rare, with an incidence of about 1%, which has been reported in relevant literature. However, there are few reports on the simultaneous occurrence of multiple segmental subdural/epidural hematomas(SDH/SEH)after surgery. Case presentation: This case reports a 90-year-old female with lower limb neurological dysfunction after PKP.Emergency thoracolumbar magnetic resonance imaging(MRI) showed hematoma compressing the spinal cord. After conservative treatment, the sensory and motor function of the right lower limb returned to normal, and the bowel and urine function returned to normal, but the muscle strength of the left lower limb did not fully recover. Conclusion: Blood pressure should be well controlled during the perioperative period for elderly patients with hypertension. This will avoid severe fluctuations in blood pressure caused by pain, anesthesia, and other reasons, reduce the probability of intraspinal vascular rupture, and prevent severe neurological dysfunction caused by acute intraspinal hemorrhage. Keywords Spinal epidural hematoma (SEH); Spinal subdural hematoma (SDH) percutaneous kyphoplasty (PKP); Hypertension; spinal cord compression Background PKP is an effective method for the treatment of osteoporotic fractures and some vertebral bone tumors, and most patients have good curative effects. Because it is less invasive, the operation can be completed under local anesthesia, and has little effect on the systemic function of patients, it has been widely used in clinical practice [1][2][3] ； However, PKP has some serious complications, such as spinal cord or nerve root injury, subdural or epidural hematoma, infection, pulmonary embolism, and so on [2,[4][5][6] .Acute Spinal epidural hematoma [7] and subdural hematoma [1] are rare complications after PKP, which usually occur within a few hours after surgery, and patients will experience severe neurological dysfunction in a very short time.

    Keywords: Spinal epidural hematoma, Spinal subdural hematoma, Percutaneous kyphoplasty, Hypertension, Spinal Cord Compression

    Received: 21 Sep 2024; Accepted: 27 Nov 2024.

    Copyright: © 2024 Liu and Deng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Hailong Liu, People’s Hospital of Deyang City, Deyang, China

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