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spinal epidural hematoma after spinal manipulation therapy:Report of three cases and a literature review

World Journal of Clinical Cases 2021年第22期9卷 6501-6509页

作者： Hua Liu Tao Zhang Tao Qu Cheng-Wei Yang Song-Kai Li Department of Spine Surgery The 940th Hospital of Joint Logistics Support Force of Chinese People’s Liberation ArmyLanzhou 730050Gansu ProvinceChina

BACKGROUND spinal manipulation therapy(SMT)has been widely used worldwide to treat musculoskeletal diseases,but it can cause serious adverse *** epidural hematoma(SEH)caused by SMT is a rare emergency that can cause neurological *** herein report three cases of SEH after *** SUMMARY The first case was a 30-year-old woman who experienced neck pain and numbness in both upper limbs immediately after *** symptoms persisted after 3 d of conservative treatment,and she was admitted to our *** resonance imaging(MRI)demonstrated an SEH,extending from C6 to *** second case was a 55-year-old man with sudden back pain 1 d after SMT,numbness in both lower limbs,an inability to stand or walk,and difficulty *** revealed an SEH,extending from T1 to *** third case was a 28-year-old man who suddenly developed symptoms of numbness in both lower limbs 4 h after *** was unable to stand or walk and experienced mild back *** revealed an SEH,extending from T1 to *** three patients underwent surgery after failed conservative *** three cases recovered to ASIA grade E on day 5,1 wk,and day 10 after surgery,*** patients returned to normal after 3 mo of *** SEH caused by SMT is very rare,and the condition of each patient should be evaluated in full detail before *** should be diagnosed immediately and actively treated by surgery.

关键词： spinal epidural hematoma spinal manipulation therapy spinal cord injury Magnetic resonance imaging Surgery Case report

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