Delayed postoperative epidural hematoma formation after heparinization in lumbar spinal surgery.
Treatment of thromboembolic disease in the postoperative lumbar spine patient is controversial. This case report describes an epidural hematoma with neurologic sequelae in an elderly patient who received intravenous heparin therapy over 2 weeks after lumbar decompression. Implications for treatment of thromboembolic disease in the postoperative lumbar spine is reviewed.
Spanier
D E
DE
St. Vincent Hospitals and Health Services, Indianapolis, Indiana, USA.
Stambough
J L
JL
D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects*; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000139:chemically induced*; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D007796:Laminectomy; D011183:Postoperative Complications / Q000139:chemically induced*; D013117:Spinal Cord Compression / Q000601:surgery*; D013997:Time Factors; D020246:Venous Thrombosis / Q000188:drug therapy
D000925:Anticoagulants; D006493:Heparin