BKH St. Johann in Tirol, Abteilung für Orthopädie und Traumatologie, Bahnhofstraße 14, 6380 St. Johann in Tirol, Österreich, Austria.
Krems Donauuniversität, Abteilung für Orthopädie und Traumatologie, Dr.-Karl-Dorrek-Straße 30, 3500, Krems an der Donau, Austria.
Spinal Cord Ser Cases. 2023 Jul 11;9(1):30. doi: 10.1038/s41394-023-00589-z.
Spinal epidural hematoma is a rare condition that most commonly occurs as a complication of spinal surgery. For patients with neurological deficits, surgical decompression can generally provide good outcome.
A 56-year-old, otherwise healthy, patient was admitted to the orthopedic emergency department with a pelvic ring fracture. Over the course of 4 days, a lumbar spinal epidural hematoma developed, with the patient complaining of pain radiating to the S1 dermatome and saddle paresthesia. The hematoma was surgically decompressed, and the patient had a complete recovery.
To our knowledge, this is the first report of a spinal epidural hematoma after pelvic ring fracture. The etiology of spinal epidural hematoma is diverse, but it is most frequently observed after spinal surgery. It has rarely been observed after lumbar spinal fractures, nearly exclusively in patients with ankylosing spondylitis.
Pelvic ring fracture might result in spinal epidural hematoma. The presence of neurological deficits after such fractures is an indication for lumbosacral MRI. Surgical decompression will generally resolve the neurological symptoms.
硬脊膜外血肿是一种罕见的病症，最常见于脊柱手术后的并发症。对于有神经功能缺损的患者，手术减压通常能取得良好的效果。
一位 56 岁、身体其他方面健康的患者因骨盆环骨折被收入骨科急诊病房。在 4 天的时间里，患者出现了腰椎硬脊膜外血肿，伴有疼痛放射至 S1 皮节和鞍区感觉异常。血肿进行了手术减压，患者完全康复。
据我们所知，这是首例骨盆环骨折后发生硬脊膜外血肿的报告。硬脊膜外血肿的病因多种多样，但最常发生于脊柱手术后。它在腰椎骨折后很少见，几乎只发生在强直性脊柱炎患者中。
骨盆环骨折可导致硬脊膜外血肿。此类骨折后出现神经功能缺损是进行腰骶部 MRI 的指征。手术减压通常可解决神经症状。
