Neglected major vessel injury after anterior spinal surgery - A case report

Study Design. This is a case report. Objectives. To present a case of neglected major vessel injury after anterior spinal surgery. Summary of Background Data. Vascular complications during spinal surgery are fortunately few in number. The incidence and management of vascular complications during anterior approaches to the thoracolumbar spine are not well known, and it is likely that most acute or delayed vascular injuries and complications are not reported. Methods. A case that underwent anterior spinal surgery for T12 burst fracture with an iatrogenic injury to the aorta was presented. Results. Paraparesis ( Frankel B) was present before last operation and disappeared completely at 30 months of follow-up. Conclusions. As with any complication, the best treatment is prevention. Careful and meticulous exposure of the involved anatomic area is very important for prevention. Early recognition with rapid treatment of vascular complications can reduce potential morbidity and mortality.