Midline spinous process splitting laminoplasty in a newborn with thoracolumbar epidural hematoma: a bone-sparing procedure based on anatomy and embryology
- 14 April 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Child's Nervous System
- Vol. 36 (12), 3103-3108
- https://doi.org/10.1007/s00381-020-04611-9
Abstract
Spinal epidural hematoma (SEH) is a rare condition leading to spinal cord compression after trauma, surgery, or other. In 40% of the cases, the cause is unknown or unidentified. Due to the absence of specific symptoms, the diagnosis is often delayed. The mainstay of treatment is urgent evacuation of the hematoma. The choice of the surgical technique is surgeon-dependent and ranges from simple decompression and hematoma evacuation to variable combinations of decompression and reconstruction of the posterior spinal arch. To our knowledge, we describe the youngest case in the literature of a thoracolumbar SEH in a newborn with hemophilia A which was evacuated by spinous process splitting laminoplasty (SPSL). SPSL was chosen to avoid damaging the primary ossification centers, preserve the paravertebral musculature, and evade the sequelae of multilevel laminectomies. In our opinion, this technique should be propagated in the pediatric population for accessing the posterior and posterolateral spinal canal.This publication has 27 references indexed in Scilit:
- Nontraumatic spinal epidural hematoma during pregnancy: diagnosis and management concernsSpinal Cord, 2012
- Cervical epidural hematoma in a childJournal of Neurosciences in Rural Practice, 2012
- Spinal epidural hematomaEuropean Journal of Emergency Medicine, 2012
- Haemophilia A presenting as spontaneous spinal epidural haematoma in a 3-month-old infantBMJ Case Reports, 2010
- Spontaneous Spinal Epidural Hematoma in an Infant : A Case Report and Review of the LiteratureJournal of Korean Neurosurgical Society, 2008
- Spontaneous spinal epidural hematoma in a 4-month-old infantSpinal Cord, 2006
- Spontaneous spinal epidural hematoma in toddlers: description of two cases and review of the literatureSurgical Neurology, 1994
- Vascular anatomy of the spinal epidural space: Considerations on the etiology of the spontaneous spinal epidural hematomaClinical Anatomy, 1991
- Spontaneous spinal haematomasActa Neurochirurgica, 1988
- Spontaneous Spinal Epidural Hematoma Coincident with Whooping CoughJournal of Neurosurgery, 1963