Delayed postoperative spinal epidural hematoma after one-hole split endoscope discectomy: a case report and literature review
The present case highlights that, despite the absence of prior literature on this complication in OSE, the risk of symptomatic epidural hematoma exists similarly to other endoscopic spinal techniques. Early recognition, prompt imaging, and immediate surgical intervention are critical to optimizing neurological recovery. Surgeons should maintain a high index of suspicion for POSEH in OSE patients presenting with acute neurological decline, even beyond the typical 72-h postoperative window.
Authors
- Peng Gao (ORCID: https://orcid.org/0000-0002-3839-3167)
- Miao Ge
- Youzhi Zhou
- Ying Ching Tan (ORCID: https://orcid.org/0000-0003-2957-0165)
- Xu Zhong (ORCID: https://orcid.org/0000-0002-0619-8949)
- Haonan Li (ORCID: https://orcid.org/0000-0002-0589-7182)
- Koji Uotani
- Tao Liu
- Mishan Wu
- Yubo Zhou
- Masato Tanaka
Institutions
- Macau University of Science and Technology (MO)
- Shandong University of Traditional Chinese Medicine (CN)
- Okayama University Hospital (JP)
- Weifang Chinese Medicine Hospital (CN)
Publication Details
- Journal
- Frontiers in Surgery
- Published
- 2026-02-25
- DOI
- https://doi.org/10.3389/fsurg.2026.1737628
- Primary Topic
- Spinal Hematomas and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Natural Science Foundation of Shandong Province