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Case report reveals new pain and neurological issues after thoracic surgery, indicating urgent MRI needed for hematoma.
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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Takei et al. (2026) studied this question.
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