Published online Aug 16, 2023. doi: 10.12998/wjcc.v11.i23.5430
Peer-review started: May 24, 2023
First decision: June 19, 2023
Revised: July 4, 2023
Accepted: July 18, 2023
Article in press: July 18, 2023
Published online: August 16, 2023
Processing time: 77 Days and 23.8 Hours
Intracranial hemorrhage after spinal surgery is a rare but disastrous postoperative complication.
To reduce the complication of intracranial hemorrhage after spinal surgery.
This study aimed to investigate the incidence and the health economic burden of intracranial hemorrhage after spinal surgery, clarify clinical and imaging manifestations and possible risk factors.
Intracranial hemorrhage patients were selected in this retrospective cohort study. Based on the type of spinal surgery, hemorrhage patients were randomly matched in a 1:5 ratio with control patients. The pre-, intra-, and post-operative associated risk factors were analyzed.
The incidence of intracranial hemorrhage after spinal surgery was 0.025% (6/24472). Cerebellar hemorrhage was the prevailing type of intracranial hemorrhage. Patient age, previous stroke history, and dura mater damage were possible risk factors.
Intracranial hemorrhage after spinal surgery was extremely rare, with poor clinical outcomes. It is suggested that spinal dura mater injury should be avoided during surgery in high-risk patients.
A multicentric and prospective study should be conducted in the future.