Robinson DE, Ball KE, Webb PJ. Iliopsoas hematoma with femoral neuropathy presenting a diagnostic dilemma after spinal decompression.
Spine (Phila Pa 1976) 2001;
26:E135-8. [PMID:
11246396 DOI:
10.1097/00007632-200103150-00006]
[Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN
Case report of an iliopsoas hematoma with femoral neuropathy appearing 8 weeks after a posterior spinal decompression procedure.
OBJECTIVES
To describe a potential complication and differential diagnosis for nerve root symptoms following spinal decompression.
SUMMARY OF BACKGROUND DATA
Iliopsoas hematoma is usually a complication of anticoagulation, hemophilia, or trauma. It has not been described previously as a complication of posterior spinal decompression. Femoral neuropathy results from compression within the iliopsoas compartment.
METHODS
A 53-year-old woman reported pain in the right side of her groin and an increasing fixed flexion deformity of the right hip 8 weeks after a posterior, midline, spinal decompression. A femoral neuropathy later developed. Magnetic resonance imaging and computed tomography were performed.
RESULTS
Imaging studies demonstrated a diffusely enlarged iliopsoas. Exploration revealed a large hematoma, which was evacuated. The compartment was fully decompressed with resolution of the nerve root symptoms within 48 hours.
CONCLUSIONS
Iliopsoas pathology is a rare cause of nerve root symptoms and presented diagnostic difficulties after an apparently successful spinal decompression.
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