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Surg."],"abstract":"<jats:sec><jats:title>Study Design<\/jats:title><jats:p>A retrospective case report.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To report a case who developed deteriorated paraplegia by spontaneous spinal epidural hematoma (SSEH) based on calcification of the ligamentum flavum (CLF) at the T10\u201311 level, achieved full neurological recovery following posterior percutaneous endoscopic surgery (PPES).<\/jats:p><\/jats:sec><jats:sec><jats:title>Summary of Background Data<\/jats:title><jats:p>CLF rarely occurs at the thoracic spine, and the symptom usually progress slowly. SSEH is another rare spinal lesion that might progress rapidly and cause emergent severe spinal cord compression syndrome. Coexistence of SSEH and CLF at the same thoracic level was rarely reported in English literature.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 65-year-old man presented to our hospital with the complaint of sensorimotor loss on the lower limbs and dysfunction of bladder for 1\u00a0day after a progressive weakness and numbness of the lower limbs for 3\u00a0months. MR examination found a dorsal protruding mass at the T10\u201311 level, while computed tomography (CT) found the protruding mass contained scattered calcified deposits. The patient was diagnosed with thoracic CLF. Decompression <jats:italic>via<\/jats:italic> PPES was carried out to realize bilateral decompression through a unilateral approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the operation, the protruding mass was found to be composed of SSEH and CLF together. After the operation, the patient's neurological function recovered quickly. One week later, the patient could walk by himself. After 3\u00a0months, complete neurological function had recovered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SSEH could develop based on CLF at thoracic level and cause serious neurological dysfunction. PPES might be an advisable method to remove CLF and evacuate SSEH with good clinical results.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.1077343","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T05:35:12Z","timestamp":1673415312000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Successful treatment of thoracic myelopathy caused by spontaneous spinal epidural hematoma (SSEH) combined with calcification of the ligamentum flavum (CLF) by posterior percutaneous endoscopic surgery (PPES): A case 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