School of Medicine, Cardiff University, Cardiff, United Kingdom.
Cardiff and Vale Orthopaedic Centre, University Hospital Llandough, Llandough, Penarth, United Kingdom.
JBJS Case Connect. 2020 Apr-Jun;10(2):e0102. doi: 10.2106/JBJS.CC.19.00102.
Two cases of postoperative spinal subdural extra-arachnoid hygromas were successfully treated with bed rest after patients developed symptoms 4 to 5 days following decompressive lumbar surgery. The development of the hygromas as well as the radiological findings are discussed.
To the best of our knowledge, these comprise the first postoperative cases successfully treated without surgical re-exploration. This demonstrates conservative management may be a safe and effective management choice.
减压腰椎手术后 4 至 5 天出现症状后,2 例术后脊柱硬膜下蛛网膜外肿成功通过卧床休息进行治疗。讨论了肿的发展和影像学发现。
据我们所知,这些是首次成功治疗而无需再次手术探查的术后病例。这表明保守治疗可能是一种安全有效的治疗选择。