This case highlights critical considerations for UBE procedures: (1) multifactorial hematoma risks require meticulous surgical technique, staged rehabilitation, and thorough coagulation screening; (2) neurological deterioration mandates emergent MRI for surgical planning, while stable cases may respond to protocolized conservative care including monitored bed rest, osmotic agents, and coagulation correction. These findings underscore the need for risk-stratified postoperative management algorithms in endoscopic spine surgery.
Zeng et al. (2026) studied this question.