مريض عمره ٦٠ سنة بعد عملية في العمود الفقري القطني بست ساعات. صار ضعف جديد في رجليه وخدر يزيد، ولم يكن موجوداً بعد العملية مباشرة. الجرح جاف. ما الإجراء؟

A 60-year-old six hours after lumbar spine surgery develops new and increasing leg weakness and numbness that were absent right after surgery. The wound is dry. What is done?

1. Document it only at the end of the shift
2. Give analgesia and reassess tomorrow
3. Encourage walking to strengthen the legs
4. Notify the surgeon now: possible haematoma

Answer: D) Notify the surgeon now: possible haematoma. New progressive weakness or numbness after spinal surgery may be an epidural haematoma compressing nerves, needing urgent assessment, imaging and surgery.