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Spinal surgeon was negligent in giving patient heparin too early and leaving her disabled

BMJ 2018; 361 doi: (Published 11 June 2018) Cite this as: BMJ 2018;361:k2565
  1. Clare Dyer
  1. The BMJ

A college lecturer has been left with permanent neurological injury as a result of a consultant neurosurgeon’s decision to give her anti-thrombotic medication too soon after spinal surgery, a High Court judge has ruled.1

Mr Justice Martin Spencer concluded that Christos Tolias was negligent in giving Yvonne Lesforis low molecular weight heparin (LMWH) only three hours after her operation, and that this caused her injury.

Tolias has applied for permission to appeal but if the judgment stands, Lesforis is expected to receive more than £1m (€1.13m; $1.34m) in damages.

Lesforis, now 61, had been having lower back problems off and on with pain radiating down her legs since 2007. In 2012 and 2013 she consulted Tolias at Kings College Hospital in London.

She agreed to have decompression surgery to treat stenosis at the L3 and L4 levels in her …

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