{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T13:23:22Z","timestamp":1755696202609,"version":"3.41.0"},"reference-count":18,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nSpinal subdural hematoma (SDH) is a very rare complication of percutaneous balloon kyphoplasty. Here, a 66-year-old male developed delayed-onset spinal SDH following kyphoplasty.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 66-year-old male with a history of atrial fibrillation on Eliquis developed a SDH on day 4 following a T3 single-level kyphoplasty for an osteoporotic compression fracture. The patient presented with progressive lower extremity motor\/sensory paralysis that eventually ascended to the cervical region. The magnetic resonance (MR) imaging revealed a large dorsal subdural hematoma extending from T1 to S2. The patient underwent a decompressive laminectomy for hematoma to remove cement fragments and repair a dural tear. Postoperatively, the patient partially recovered sensation but no motor function and expired in the intensive care unit due to major comorbid factors.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nSDH is a potentially serious risk of performing a kyphoplasty. This is particularly true for patients on anticoagulants who should be stringently monitored with MR if indicated to avoid a major postoperative hemorrhage and paralysis.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_370_2025","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T08:23:25Z","timestamp":1747988605000},"page":"197","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Delayed-onset spinal subdural hematoma after kyphoplasty"],"prefix":"10.25259","volume":"16","author":[{"given":"Ibrahim","family":"Mrad","sequence":"first","affiliation":[{"name":"Faculty of Medicine, American University of Beirut, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamad","family":"El Houshiemy","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Kawtharani","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wael Ali","family":"Shouman","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, American University of Beirut, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suhyl","family":"Lakkis","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Houssein","family":"Darwish","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"key":"10.25259\/SNI_370_2025\/ref-1","doi-asserted-by":"crossref","first-page":"1809","DOI":"10.1016\/j.spinee.2013.05.053","article-title":"Infection after vertebroplasty or kyphoplasty. 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