The role of the vascular surgeon in anterior lumbar spine surgery

British Journal of Neurosurgery
Mohammed Jamil AshaChris Imray

Abstract

Advances in spinal fusion techniques have led to an increase in the need for safe access to the lumbar spine anteriorly. The aim of this study is to examine the procedure-related complications of anterior lumbar inter-body fusion (ALIF) or anterior lumbar disc replacement (ALDR) when performed jointly by a vascular-surgeon and a neurosurgeon in a single centre. A retrospective cohort analysis was conducted for all patients who underwent ALIF or ALDR between 2004 and 2010. Operative notes were examined to identify any procedure-specific complications. In-hospital postoperative complications were recorded. Outpatients' records were reviewed to record any late-onset postoperative complications. A total of 121 patients (68 female and 53 males) were included. Mean age was 44 years (range of 25-76). Eighty patients (66%) had ALIF while 24 patients (20%) underwent ALDR. The remaining 17 patients (14%) had combined procedure for multilevel disease. In all patients, a transperitoneal approach was performed by vascular surgeon. The main indication (88%) for performing surgery was degenerative lumbar disc disease. No visceral or 'major vascular' complications were reported in any patients. Only three patients had 'minor vascular' injuries...Continue Reading

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Citations

Dec 20, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Nasir A QuraishiJ K Webb
Nov 5, 2013·The Spine Journal : Official Journal of the North American Spine Society·Steven J FinebergKern Singh
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May 31, 2016·Annals of Vascular Surgery·Brant W UlleryMatthew W Mell
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May 26, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Azeem Tariq MalikElizabeth Yu
Aug 17, 2020·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Vy T HoVenita Chandra
Jan 18, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ryan SnowdenPaul Kraemer
Aug 20, 2021·Journal of Surgical Case Reports·Mark H FalaheeRema J Malik

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