{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T05:13:00Z","timestamp":1664428380015},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JOCR"],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:p>Introduction: We report two cases that required revision surgery with thoracotomy for massive hematoma after anterior kyphorectomy surgery.  Case Report: A woman with significant thoracolumbar kyphosis due to L1 vertebral fracture showed associated vertebral instability and pain resistant to conservative treatment. She underwent surgery for a one-stage anterior kypholectomy with spinal fusion. We performed an extrapleural approach. On the 4th post-operative day, the patient developed respiratory distress with decreased SpO2. Contrast-enhanced computed tomography (CT) revealed a left hemothorax with active bleeding. Revision surgery was performed to arrest the bleeding, and a large hematoma in the thoracic cavity was observed around the intercostal artery just below the skin incision, not around the surgical site. A man suffered from impaired activities of daily living caused by postural abnormalities due to severe kyphosis from vertebral fractures at the L1 and L2 vertebrae. Thus, we performed two-stage kypholectomy surgery. First, we performed posterior fixation with posterior facet resection. Then, corpectomy of the 1st and 2nd lumbar vertebrae through an anterior extrathoracic approach was performed. A CT scan on the 2nd post-operative day showed a massive hemopneumothorax, indicating persistent bleeding, and we performed a revision surgery to open the chest for additional hemostasis. Intraoperative findings showed a large hematoma, including reactive pleural effusion in the subcutaneous, retroperitoneal, and intrathoracic cavities.  Conclusion: We experienced two patients who required thoracotomy hematoma removal after anterior spinal surgery. Intraoperative patronage and adequate hemostasis are necessary to avoid post-operative complications such as hemothorax and hemopneumothorax.<\/jats:p>","DOI":"10.13107\/jocr.2022.v12.i07.2924","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T19:30:08Z","timestamp":1664393408000},"page":"75-78","source":"Crossref","is-referenced-by-count":0,"title":["Anterior Spinal Surgery Requiring Thoracotomy for Post-Operative Hematoma Removal: Two Case Reports"],"prefix":"10.13107","volume":"12","author":[{"given":"Tomohito","family":"Mukaihata","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Shiga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhide","family":"Inage","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yawara","family":"Eguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiji","family":"Ohtori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumihisa","family":"Orita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2022]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T19:30:34Z","timestamp":1664393434000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2022\/07\/10\/anterior-spinal-surgery-requiring-thoracotomy-for-post-operative-hematoma-removal-two-case-reports\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022]]},"published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2022.v12.i07.2924","relation":{},"ISSN":["2250-0685","2321-3817"],"issn-type":[{"value":"2250-0685","type":"print"},{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022]]}}}