Vascular injury during anterior lumbar surgery

The Spine Journal : Official Journal of the North American Spine Society
Salvador A BrauRobert G Watkins

Abstract

With the number of anterior lumbar procedures expected to increase significantly over the next few years, it is important for spine surgeons to have a good understanding about the incidence of vascular complications during these operations. To determine the incidence of vascular injury in 1,315 consecutive cases undergoing anterior lumbar surgery at various levels from L2 to S1. Patients undergoing anterior lumbar surgery were studied. A total of 1,310 consecutive patients undergoing 1,315 anterior lumbar procedures between August 1997 and December 2002 were included in the study. All patients were evaluated for incidence of vascular injury during and immediately after surgery. A concurrent database was maintained on all these cases. All the patients had distal pulse evaluation preoperatively. Patients with venous injuries were further analyzed to determine location and extent of injury, amount of blood loss, completion of the procedure and postoperative sequelae. Patients with pulse deficits or evidence of ischemia during or immediately after surgery were further analyzed in particular in relation to demographic, preoperative variables and management. Six patients were identified as having left iliac artery thrombosis (0.45%),...Continue Reading

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Feb 18, 2014·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·Dominique A RothenfluhBronek M Boszczyk
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