THROMBOTIC OCCLUSION OF THE LEFT COMMON ILIAC ARTERY AFTER AN ANTERIOR RETROPERITONEAL APPROACH TO THE LUMBAR SPINE

被引:35
作者
MARSICANO, J [1 ]
MIROVSKY, Y [1 ]
REMER, S [1 ]
BLOOM, N [1 ]
NEUWIRTH, M [1 ]
机构
[1] HOSP JOINT DIS & MED CTR,INST INORGAN CHEM,DEPT ORTHOPAED SURG,301 E 17TH ST,ROOM 415,NEW YORK,NY 10003
关键词
SPINAL FUSION; RETROPERITONEAL APPROACH; VASCULAR BYPASS; THROMBOSIS; VASCULAR COMPLICATION;
D O I
10.1097/00007632-199402000-00019
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Thrombotic occlusion of the left common iliac artery occurred in a 59-year-old man after an anterior and posterior spinal fusion. Preoperatively, the patient was known to have peripheral vascular disease. Symptoms of an L4-5 radiculopathy were noted postoperatively. After an iliac-iliac bypass, the symptoms completely resolved. Retraction of the vessels during the anterior retroperitoneal approach was the presumed cause. To the authors' knowledge, this is the first report of a thrombotic occlusion developing in a patient after an anterior retroperitoneal approach to the lumbar spine. It is their hope that through an increased awareness similar complication will be prevented.
引用
收藏
页码:357 / 359
页数:3
相关论文
共 4 条
  • [1] Anda S., Arkhus S., Skaenes K., Et al., Anterior perforations in lumbar discectomies: A report of four cases of vascular complications and a CT study of the prevertebral lumbar anatomy, Spine, 16, pp. 54-60, (1991)
  • [2] Baker J.K., Reardon P., Reardon M., Heggeness M., The Incidence of Great Vessel Injury in Anterior Spinal Surgery. Presented at the 27Th Scoliosis Research Society Meeting of the American Association of Orthopaedic Surgeons, (1992)
  • [3] Brewster D., May A., Darling R., Et al., Variable manifestations of vascular injury during lumbar disk surgery, Arch Surg, 114, pp. 1026-1030, (1979)
  • [4] De Saussure R., Vascular injury coincident to disc surgery, J Neurosurg, 16, pp. 222-229, (1959)