Altarawneh Mohammad¹*, Noman Mohammad¹, Altarawneh Heba² and Bejko Evina³

¹Prince Hamza Hospital, Neurosurgery Department, Amman, Jordan
²Royal Medical Services, Pediatric Dentistry Department, Amman, Jordan
³Prince Hamza Hospital, Dermatology Department, Amman, Jordan

*Corresponding Author: Altarawneh Mohammad, Prince Hamza Hospital, Neurosurgery Department, Amman, Jordan.

Received: August 19, 2024; Published: October 08, 2024

Abstract

Background: Psoas muscle hematoma is uncommon but potentially serious complication following spinal interbody fusion surgeries. It can result in significant morbidity and prolonged hospitalization if not promptly diagnosed and managed. Herein, we present a case report of psoas muscle hematoma following spinal interbody fusion and review the current literature regarding its etiology, presentation, diagnosis, and management.

Case Presentation: A  52-year-old female presented with severe lower back pain and radiculopathy following spinal interbody fusion surgery. Imaging studies revealed a large hematoma within the psoas muscle adjacent to the surgical site. The patient managed conservatively with bed rest and blood transfusion, leading to the resolution of symptoms and hematoma over time.

Literature Review: Psoas muscle hematoma after spinal interbody fusion is often attributed to intraoperative vascular injury or excessive manipulation of surrounding tissues. Clinical manifestations include acute-onset back pain, neurological deficits, and signs of vascular compromise. Prompt diagnosis is crucial and typically achieved through magnetic resonance imaging (MRI) or computed tomography (CT) scans. Management strategies range from conservative measures such as bed rest and analgesia to more invasive interventions, including percutaneous drainage or surgical exploration, depending on the severity of symptoms and hematoma size.

Conclusion: Psoas muscle hematoma is a rare but potentially serious complication following spinal interbody fusion surgeries. Physicians  should maintain a high index of suspicion for this condition in patients presenting with acute-onset back pain or neurological deficits postoperatively. Early diagnosis and appropriate management are essential to prevent complications and optimize patient outcomes. Further research is warranted to elucidate optimal strategies for the prevention and management of this rare complication.

 Keywords: Psoas; Psoas Hematoma; Posterior Fusion

References

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Citation

Citation: Altarawneh Mohammad., et al. “Psoas Hematoma as a Rare Complication After Posterior Lumbar Interbody Fusion: Case Report and Literature Review”.Acta Scientific Medical Sciences 8.11 (2024): 08-12.

Copyright

Copyright: © 2024 Altarawneh Mohammad., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.