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Lumbar Epidural Hematoma as a Rare Complication From Minimally Invasive Lumbar Decompression – Lumbar Spinal Stenosis

This article discusses a rare complication of the minimally invasive lumbar decompression (MILD) procedure for the treatment of lumbar spinal stenosis (LSS). The authors present a case study of a 76-year-old woman who experienced lower back and sacral pain due to an acute epidural hematoma after undergoing a MILD procedure. The hematoma extended from T12-L3 and was identified promptly, leading to surgical evacuation and a good outcome. The article aims to raise awareness of this rare complication and highlight the importance of multidisciplinary approaches to managing LSS

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine centre on Harley Street UK

Published article

Lumbar spinal stenosis (LSS) is a common and debilitating pathology globally. Conservative and surgical treatment options exist for patients. Recently, minimally invasive lumbar decompression (MILD) has been described as a less invasive technique for the treatment of early spinal stenosis ≥2.5mm ligamentum thickening or in patients at high risk for general anesthesia. Often, MILD is performed by interventional pain providers and shows low complication rates. We describe a 76-year-old woman who…

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Cureus. 2023 Dec 25;15(12):e51083. doi: 10.7759/cureus.51083. eCollection 2023 Dec.ABSTRACTLumbar spinal stenosis (LSS) is a common and debilitating pathology globally. Conservative and surgical treatment options exist for patients. Recently, minimally invasive lumbar decompression (MILD) has been described as a less invasive technique for the treatment of early spinal stenosis ≥2.5mm ligamentum thickening or in patients at,

Cureus. 2023 Dec 25;15(12):e51083. doi: 10.7759/cureus.51083. eCollection 2023 Dec.

ABSTRACT

Lumbar spinal stenosis (LSS) is a common and debilitating pathology globally. Conservative and surgical treatment options exist for patients. Recently, minimally invasive lumbar decompression (MILD) has been described as a less invasive technique for the treatment of early spinal stenosis ≥2.5mm ligamentum thickening or in patients at high risk for general anesthesia. Often, MILD is performed by interventional pain providers and shows low complication rates. We describe a 76-year-old woman who presented to the emergency department immediately after undergoing a MILD procedure at an outside surgery center with lower back/sacral pain resulting from an acute epidural hematoma extending from T12-L3. Early recognition and surgical evacuation resulted in a good outcome with no complications. Our goal is to increase awareness of this rare complication and encourage multidisciplinary approaches to managing LSS between spine surgeons and pain providers.

PMID:38274924 | PMC:PMC10808042 | DOI:10.7759/cureus.51083

The London Spine Unit : innovative spine centre on Harley Street UK

Read the original publication:

Lumbar Epidural Hematoma as a Rare Complication From Minimally Invasive Lumbar Decompression

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Cureus. 2023 Dec 25;15(12):e51083. doi: 10.7759/cureus.51083. eCollection 2023 Dec.ABSTRACTLumbar spinal stenosis (LSS) is a common and debilitating pathology globally. Conservative and surgical treatment options exist for patients. Recently, minimally invasive lumbar decompression (MILD) has been described as a less invasive technique for the treatment of early spinal stenosis ≥2.5mm ligamentum thickening or in patients at

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