title: Conservative management of psoas haematoma following complex lumbar surgery.
abstract: We report psoas hematoma communicating with extradural hematoma and compressing on lumbar nerve roots during the postoperative period in a patient who underwent L3/4 level dynamic stabilization and L4/5 and L5/S1 posterior lumbar interbody fusion. Persistent radicular symptoms occurring soon after posterior lumbar surgery are not an unknown entity. However, psoas hematoma communicating with the extradural hematoma and compressing on L4 and L5 nerve roots soon after surgery, leading to radicular symptoms has not been reported. In addition to the conservative approach in managing such cases, this case report also emphasizes the importance of clinical evaluation and utilization of necessary imaging techniques such as computed tomography (CT) scan and magnetic resonance imaging (MRI) scan to diagnose the cause of persistent severe radicular pain in the postoperative period.
authors.affiliation: Department of Orthopaedics, Kings College Hospital, London SE9 5RS, UK.
authors.forename: Sandesh
authors.initials: S
authors.lastname: Lakkol
authors.affiliation: Department of Orthopaedics, University Hospital North Tees, Hardwik Road, Stockton on Tees, TS19 8PE, United Kingdom.
authors.forename: Praveen
authors.initials: P
authors.lastname: Sarda
authors.affiliation: Department of Orthopaedics, University Hospital North Tees, Hardwik Road, Stockton on Tees, TS19 8PE, United Kingdom.
authors.forename: Prasad
authors.initials: P
authors.lastname: Karpe
authors.affiliation: Department of Orthopaedics, University Hospital North Tees, Hardwik Road, Stockton on Tees, TS19 8PE, United Kingdom.
authors.forename: Manoj
authors.initials: M
authors.lastname: Krishna
keywords: Posterior lumbar interbody fusion; postoperative radicular pain; psoas hematoma