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

Clinical Case Reports 2026 Open access

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Authors: Hayato Takei, Tetsuro Ohba, Nobuki Tanaka, Kotaro Oda, Kai Mizukami, Go Goto, Hirotaka Haro
DOI: 10.1002/ccr3.71810
Cited by: 1
References: 13

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.

Fields of Study & Subjects

Spinal Hematomas and Complications Cervical and Thoracic Myelopathy Spine and Intervertebral Disc Pathology

Publication details

Journal / source
Clinical Case Reports
Publisher
Wiley
Volume
14
Issue
1
Pages
e71810–e71810
Publication date
1 January 2026
Language
EN