当前位置： SCI文献检索 > INTERNATIONAL ORTHOPAEDICS期刊下所有文献 > Causes and preventive measures of symptomatic spinal epidural haematoma after spinal surgery.

Causes and preventive measures of symptomatic spinal epidural haematoma after spinal surgery.

Abstract：

STUDY DESIGN:This was a retrospective study to evaluate clinical characteristics of patients who developed symptomatic spinal epidural haematoma (SSEH) after spinal surgery. OBJECTIVE:The objective was to determine clinical parameters associated with the development of SSEH after spinal surgery, and to discuss clinical management and possible preventive measures. Although the incidence rate of SSEH is low, the neurological sequelae are devastating. There are limited reports which identify risk factors for SSEH because of the rarity of the condition. METHODS:The 4,457 cases of spine operations performed in two medical centres were reviewed. Eleven of the cases developed postoperative spinal epidural haematomas, causing neurologic deterioration. The clinical manifestations of these 11 cases were described, and factors associated with the recovery of neurologic function were evaluated. RESULTS:The causes of SSEH following spinal surgery included inadequate drainage (9 cases), administration of anticoagulants (6 cases) and complicated coagulation disorders (1 case). The main clinical manifestation was progressive neurological deterioration in the innervated area. Seven cases underwent MRI examination and compressions of dural sac and spinal cord were observed. High pressure haematomas were found in eight cases during haematoma evacuation. Statistical analyses showed that patients with mild nerve injury at the initial stage were associated with better recovery (P<0.05). Patients who recovered completely had shorter symptom duration on average. CONCLUSIONS:Post-operative bleeding in the wound and inadequate drainage are the primary causes of SSEH. The severity of neurologic injury before haematoma evacuation was associated with the treatment outcome; therefore, it is important to have early diagnosis of SSEH to prevent progression of the neurologic injury.

journal_name

Int Orthop

journal_title

International orthopaedics

authors

Zeng XJ,Wang W,Zhao Z,Li M

doi

10.1007/s00264-017-3506-2

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

1395-1403

issue

7

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-017-3506-2

journal_volume

41

pub_type

杂志文章

相关文献

INTERNATIONAL ORTHOPAEDICS文献大全
  • The relevance of the anatomical basis of fracture for the subsequent treatment of the anterior humeral circumflex artery and the axillary nerve.

    abstract：PURPOSE:The purpose of this study was to determine the location of the anterior humeral circumflex artery and axillary nerve based on bony landmarks, and to provide anatomical information that enables a safe approach when treating a proximal humeral fractures. METHODS:Thirty cadavers were included. The distances of bo...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-011-1394-4

    authors： Chen YF,Zhu NF,Zhang CQ,Wang L,Wei HF,Lu Y

    更新日期：2012-04-01 00:00:00

  • Comparison of open reduction and internal fixation and primary total hip replacement for osteoporotic acetabular fractures: a retrospective clinical study.

    abstract：PURPOSE:Treating acetabular fractures with open reduction and internal fixation (ORIF) may lead to poorer outcomes in older patients. As data for osteoporotic acetabular fractures are limited, we compared primary total hip replacement (THR) with ORIF for treating osteoporotic acetabular fractures, including those with ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-016-3260-x

    authors： Boelch SP,Jordan MC,Meffert RH,Jansen H

    更新日期：2017-09-01 00:00:00

  • Earliest times before hip arthroplasty: from John Rhea Barton to Themistocles Glück.

    abstract：:Over the last two centuries, treatment of hip pathology has evolved from joint excision and osteotomies to modern total hip arthroplasty (THA), which is considered one of the most successful surgical interventions ever developed. We here review the history of hip procedures that preceded Themistocles Glück. This evalu...

    journal_title：International orthopaedics

    pub_type： 传,历史文章,杂志文章

    doi：10.1007/s00264-013-2004-4

    authors： Hernigou P

    更新日期：2013-11-01 00:00:00

  • Uncemented acetabular components with polyethylene or alumina liners.

    abstract：:Sixty consecutive patients (60 hips) were allocated in two matched-pair groups. Patients were matched for age, gender, body mass index, level of activity, and bone stock. Both groups received an uncemented total hip arthroplasty with a modular press-fit cup and an alumina femoral head. In the first group, an acetabula...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-002-0422-9

    authors： Schmidt R,Willmann G,Pitto RP

    更新日期：2003-01-01 00:00:00

  • The effect of a lateral flare feature on implant stability.

    abstract：:We reviewed the X-rays of 109 patients with 115 primary total hip replacements utilizing a lateral flare cementless stem to assess axial migration and stability. The average follow-up was 48.6 (24-104) months. The average subsidence at 2 years was 0.32 mm, remaining at a level below 1 mm for the duration of the follow...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-002-0355-3

    authors： Leali A,Fetto J,Insler H,Elfenbein D

    更新日期：2002-01-01 00:00:00

  • The anatomical pattern of gonarthrosis in Saudi Arabia.

    abstract：:Fifty patients in Saudi Arabia with primary gonarthrosis were randomly selected in order to study the anatomical pattern of the disease. Anteroposterior and lateral radiographs were taken with the patients nonweight-bearing and weight-bearing; axial projections of the patello-femoral joint were also taken. Involvement...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00268043

    authors： Ahlberg A,Moussa M

    更新日期：1989-01-01 00:00:00

  • Experiments on antigenicity and osteogenicity in allotransplanted cancellous bone.

    abstract：:This experimental study was undertaken in mice to investigate the procedures for storage of allogenic cancellous bone. Cancellous grafts were were stored at -80 degrees C, -196 degrees C or freeze dried. Grafts were implanted into a defect in the recipient's femur and after one week the cellular kinetic activity was a...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00178753

    authors： Mizutani A,Fujita T,Watanabe S,Sakakida K,Okada Y

    更新日期：1990-01-01 00:00:00

  • Simple neurolysis for failed anterior submuscular transposition of the ulnar nerve at the elbow.

    abstract：:From 1996 to 2000, we reoperated nine patients totally dissatisfied after previous surgery for cubital tunnel syndrome. All patients had simple external neurolysis in situ of the transposed ulnar nerve. Only the anterior aspect of the ulnar nerve was dissected and released. Dense scarring around the ulnar nerve was fo...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-004-0589-3

    authors： Dagregorio G,Saint-Cast Y

    更新日期：2004-12-01 00:00:00

  • What is a "periprosthetic shoulder infection"? A systematic review of two decades of publications.

    abstract：PURPOSE:While as many as 50% of revision shoulder arthroplasties are culture positive, a consistent, clinically useful definition of a "periprosthetic shoulder infection" is lacking. We conducted a systematic review of the published literature with respect to (1) the definition of a "periprosthetic shoulder infection",...

    journal_title：International orthopaedics

    pub_type： 杂志文章,评审

    doi：10.1007/s00264-017-3421-6

    authors： Hsu JE,Somerson JS,Vo KV,Matsen FA 3rd

    更新日期：2017-04-01 00:00:00

  • The relative safety of one-stage bilateral total knee arthroplasty.

    abstract：:Patients with osteoarthritis of the knee often require bilateral knee replacement before fulfilling their full ambulatory potential. Despite extensive research there is considerable debate about the risks of performing simultaneous bilateral knee replacements under the same anaesthetic. Our aim was to compare the rela...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-007-0447-1

    authors： Luscombe JC,Theivendran K,Abudu A,Carter SR

    更新日期：2009-02-01 00:00:00

  • Osteogenic differentiation is synergistically influenced by osteoinductive treatment and direct cell-cell contact between murine osteoblasts and mesenchymal stem cells.

    abstract：PURPOSE:The present study was designed to address whether osteoblasts play a synergistic role in promoting mesenchymal stem cell (MSC) osteogenesis in a direct cell-cell contact co-culture model. METHODS:Murine C3H10T1/2 and MC3T3-E1 cell lines were mixed and plated onto 12-well culture plates and co-cultured at vario...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-011-1259-x

    authors： Tsai MT,Lin DJ,Huang S,Lin HT,Chang WH

    更新日期：2012-01-01 00:00:00

  • Effects of screw eccentricity on the initial stability of the acetabular cup.

    abstract：:One of the major failure modes of cementless acetabular components is the loosening of the acetabular cup, which is mostly attributable to insufficient initial stability. A hemispherical cup with a porous coating which is inserted with press-fit fixation and secured with several screws is one of the most widely used a...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-006-0226-4

    authors： Hsu JT,Chang CH,An KN,Zobitz ME,Phimolsarnti R,Hugate RR,Lai KA

    更新日期：2007-08-01 00:00:00

  • Periprosthetic joint infection--effect on quality of life.

    abstract：PURPOSE:Relatively little is known about the extent to which periprosthetic joint infections (PJI) affect the patient's long-term quality of life (QoL). Our study aim was to assess the effect of a periprosthetic infection on our patients' QoL. METHODS:We collected data retrospectively of patients who had undergone sur...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-013-2265-y

    authors： Helwig P,Morlock J,Oberst M,Hauschild O,Hübner J,Borde J,Südkamp NP,Konstantinidis L

    更新日期：2014-05-01 00:00:00

  • Evaluation of the use of anti-platelet therapy throughout the peri-operative period in patients with femoral neck fracture surgery. A retrospective cohort study.

    abstract：INTRODUCTION:Fracture neck of femur (hip fracture) is a very common problem among old age group. Such elderly patients usually have some comorbidities for which they may use anti-platelet therapy (such as clopidogrel, aspirin, or others) for long duration (chronic use). These anti-platelet medications might make the bl...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-020-04633-7

    authors： Abdulhamid AK

    更新日期：2020-09-01 00:00:00

  • Manipulation under anaesthetic for frozen shoulder using Codman's paradox: a safe and early return of function.

    abstract：PURPOSE:Although previously frozen shoulder was thought to resolve by two to three years, recent studies demonstrated the symptoms can remain for much longer. Manipulation under anaesthetic (MUA) has been shown to be successful in relieving pain and restoring function. Yet, concerns have been raised regarding its safet...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-017-3558-3

    authors： Tsvieli O,Atoun E,Consigliere P,Polyzois I,Walecka J,Pradhan R,Ippolito G,Rath E,Levy O

    更新日期：2018-02-01 00:00:00

  • Congenital hip dislocation and dysplasia in Southern Chinese.

    abstract：:In 1975 we carried out a survey in Hong Kong to locate Chinese children with congenital dislocation of the hip. Analysis of the available records between 1960 and 1975 gave an observed incidence which was at least 10 times less than found in Caucasians. The age and sex distribution, radiographic findings and the left-...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00266064

    authors： Hoaglund FT,Kalamchi A,Poon R,Chow SP,Yau AC

    更新日期：1981-01-01 00:00:00

  • A comparison of three lateral approaches in primary total hip replacement.

    abstract：:Three different lateral approaches for a Charnley total hip replacement were studied in 264 operations. The transtrochanteric approach was used in 94, the Liverpool in 88 and the Hardinge in 82. The mean follow up was 2.6 years (range 2 to 3 years). The clinical result was the same in each group. Radiographs showed th...

    journal_title：International orthopaedics

    pub_type： 临床试验,杂志文章

    doi：10.1007/s002640050193

    authors： Pai VS

    更新日期：1997-01-01 00:00:00

  • The orthopaedic and traumatology scenario during Covid-19 outbreak in Italy: chronicles of a silent war.

    abstract：BACKGROUND:From February 21, the day of hospitalisation in ICU of the first diagnosed case of Covid-19, the social situation and the hospitals' organisation throughout Italy dramatically changed. METHODS:The CIO (Club Italiano dell'Osteosintesi) is an Italian society devoted to the study of traumatology that counts me...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-020-04637-3

    authors： Benazzo F,Rossi SMP,Maniscalco P,Moretti B,Vaienti E,Ruggieri P,Massè A,Medici A,Formica A,Di Maggio B,Caiaffa V,Mosconi M,Murena L,D'Angelo F,Belluati A,Mazza EL,Rivera F,Castelli A,Ghiara M,Rosolani M,Cioffi R,

    更新日期：2020-08-01 00:00:00

  • Congenital absence of the radius.

    abstract：:Between 1971 and 1987, we treated 26 patients with congenital absence of the radius which had produced a club hand; 37 hands were affected. Treatment before the age of 8 months was by gentle manipulation and serial plasters. If a functional position was not obtained, and in patients over 8 months, surgical reduction w...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00194186

    authors： Fernandez-Palazzi F,Bendahan J,Rivas S

    更新日期：1993-01-01 00:00:00

  • Angiogenic cytokine expression profiles in plasma and synovial fluid of primary knee osteoarthritis.

    abstract：PURPOSE:The aim of this study was to compare angiogenic cytokine levels in knee osteoarthritis (OA) patients and healthy controls and to investigate the relationships between angiogenic cytokines and the OA severity. METHODS:Thirty-one knee OA patients and 15 healthy controls were recruited. Nine angiogenic cytokines ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-014-2406-y

    authors： Mabey T,Honsawek S,Saetan N,Poovorawan Y,Tanavalee A,Yuktanandana P

    更新日期：2014-09-01 00:00:00

  • Percutaneous discectomy of the lumbar spine.

    abstract：:Ten patients with clinical and radiological evidence of herniated discs at lower lumbar levels were treated with partial discectomy by a lateral percutaneous approach. Eight patients had complete relief from radicular pain and were discharged within four days. They returned to normal daily activity within one month. ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00271309

    authors： Caspi I,Ezra E,Nerubay J,Lin E,Tadmor R,Horoszovski H

    更新日期：1987-01-01 00:00:00

  • Long-standing unreduced dislocation of the knee. A case report.

    abstract：:We have successfully treated a middle aged woman with long-standing posterior dislocations of the knee, using two stage external fixation and arthrodesis. ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s002640050259

    authors： Vicente-Guillen P,Figa-Mataró J,Coloma-Bellver J

    更新日期：1998-01-01 00:00:00

  • Acute cholecystitis after orthopaedic operations.

    abstract：:When acute cholecystitis follows orthopaedic operations, the disease is frequently obscure and fulminating, with rapid progress to gangrene and perforation of the gallbladder, which may be fatal. Three cases are reported and the literature is reviewed. Various aspects of the disorder are discussed. It is important tha...

    journal_title：International orthopaedics

    pub_type： 杂志文章,评审

    doi：10.1007/BF00265749

    authors： Abrahamson J,Eldar S

    更新日期：1988-01-01 00:00:00

  • Occult intra-operative periprosthetic fractures of the acetabulum may affect implant survival.

    abstract：PURPOSE:Occult intra-operative periprosthetic acetabular fracture is a seldom-reported complication of primary total hip arthroplasty (THA). It may potentially be associated with cup instability and implant loosening. The present study aimed to investigate clinical consequences of this complication. METHODS:Between 20...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-018-4084-7

    authors： Dammerer D,Putzer D,Glodny B,Petersen J,Arrich F,Krismer M,Biedermann R

    更新日期：2019-07-01 00:00:00

  • Fixation of periprosthetic or osteoporotic distal femoral fractures with locking plates: a pilot randomised controlled trial.

    abstract：INTRODUCTION:We hypothesised that the use of a polyaxial locking plate design offers the same clinical benefits as a monoaxial locking plate system following distal femoral osteoporotic/periprosthetic fracture fixation. METHOD:A multicentre prospective randomised pilot trial was conducted. Inclusion criteria were pati...

    journal_title：International orthopaedics

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1007/s00264-018-4061-1

    authors： Kanakaris NK,Obakponovwe O,Krkovic M,Costa ML,Shaw D,Mohanty KR,West RM,Giannoudis PV

    更新日期：2019-05-01 00:00:00

  • Retrograde dynamic locked nailing for valgus knee correction: a revised technique.

    abstract：PURPOSE:Traditionally, valgus knee deformity is predominately corrected by stabilisation with a plate inserted via the medial approach to the supracondylar region of the femur. However, this technique is unfavourable from both a biomechanical and a biological point of view. A revised retrograde dynamic locked nailing w...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-012-1495-8

    authors： Wu CC

    更新日期：2012-06-01 00:00:00

  • Co-cultivated mesenchymal stem cells support chondrocytic differentiation of articular chondrocytes.

    abstract：PURPOSE:This study investigated which of the reciprocal stimuli between articular chondrocytes (ACs) and mesenchymal stem cells (MSCs) played the more important role in enhancing cartilage matrix formation, and examined the relative importance of physical contact and soluble factors in the co-culture system. METHODS:R...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-013-1782-z

    authors： Zuo Q,Cui W,Liu F,Wang Q,Chen Z,Fan W

    更新日期：2013-04-01 00:00:00

  • Is the humeral stem useful in anatomic total shoulder arthroplasty?

    abstract：PURPOSE:Traditionally and since Neer, the humeral side of shoulder arthroplasty consisted of a stemmed component but the real need for stem fixation in total shoulder arthroplasty (TSA) has barely been investigated. The current study evaluated the clinical and radiological outcomes with a stemless TSA. METHODS:Forty-s...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-016-3371-4

    authors： Collin P,Matsukawa T,Boileau P,Brunner U,Walch G

    更新日期：2017-05-01 00:00:00

  • Risk factors for metastasis at presentation with conventional chondrosarcoma: a population-based study.

    abstract：PURPOSE:The aim of the study was to investigate risk factors for metastasis at diagnosis. METHODS:We collected patients diagnosed with conventional chondrosarcoma between 1983 and 2014 from the Surveillance, Epidemiology, and End Results (SEER) database. Each patient was classified as having metastatic or localized di...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-018-3942-7

    authors： Song K,Shi X,Liang X,Wang H,Zou F,Lu F,Ma X,Jiang J

    更新日期：2018-12-01 00:00:00

  • The role of FDG-PET in distinguishing between septic and aseptic loosening in hip prosthesis: a review of literature.

    abstract：:Infection in prosthesis surgery is very dangerous because it changes the patient's prognosis. Differential diagnosis between septic and aseptic loosening is fundamental in order to apply the correct treatment. The correct diagnostic approach is still debated in literature. The aim of this study was to perform a review...

    journal_title：International orthopaedics

    pub_type： 杂志文章,评审

    doi：10.1007/s00264-008-0575-2

    authors： Zoccali C,Teori G,Salducca N

    更新日期：2009-02-01 00:00:00