What type of study is this?

This is a Case Report study (also classified as: Literature Review).

What question did this study set out to answer?

Examine delayed postoperative spinal epidural hematoma in thoracic OPLL surgery.

January 6, 2026Clinical Case Reports0 citationsOpen Access

Delayed Postoperative Spinal Epidural Hematoma After Thoracic OPLL Surgery: A Case Report and Literature Review

HTHayato TakeiThe Japanese Society of Gastroenterological Surgery TOTetsuro OhbaUniversity of Yamanashi NTNobuki TanakaUniversity of Fukui

Key Points

Examine delayed postoperative spinal epidural hematoma in thoracic OPLL surgery.
Case report detailing patient experience after thoracic surgery.
Assessment of neurological decline and axial pain weeks post-operation.
Urgent MRI and decompression interventions were emphasized.
Postoperative epidural hematoma developed after thoracic OPLL surgery.
Patient presented with new pain and rapid neurological decline.
MRI confirmed presence of hematoma, necessitating immediate action.

Abstract

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.

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