Postoperative epidural hematomas in the lumbar spine

Gregory D. Schroeder, Mark F. Kurd, Christopher K. Kepler, Paul M. Arnold, Alexander R. Vaccaro

Research output: Contribution to journalArticlepeer-review


Postoperative epidural hematomas are rare complications following lumbar spine surgery, but if they are not quickly identified and treated they can lead to permanent neurological deficits. Epidural hematomas occur in approximately 0.10%-0.24% of all spine surgeries, and despite the fact that multiple large studies have been performed attempting to identify risk factors for this complication, there is still significant debate about the effect of subfascial drains, postoperative anticoagulation, and antiplatelet medication on the incidence of postoperative hema-toma. The purpose of this manuscript is to review the epidemiology, etiology, diagnosis, and treatment of patients who develop a postoperative lumbar epidural hematoma.

Original languageEnglish (US)
Pages (from-to)313-318
Number of pages6
JournalJournal of Spinal Disorders and Techniques
Issue number9
StatePublished - Oct 20 2015
Externally publishedYes


  • Epidural hematoma
  • Lumbar complications
  • Lumbar spine surgery
  • Postoperative epidural hema-toma
  • Spine surgery

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology


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