Vascular complications associated with lumbar spinal surgery

Although there are currently less invasive techniques available for the treatment of spinal injuries, open surgery is still required in many cases. Vascular injuries occurring during lumbar spine surgery, although uncommon, are of great importance due to their potential gravity. Clinical manifestati...

Full description

Saved in:
Bibliographic Details
Published in:Revista española de cirugía ortopédica y traumatología 2016-03, Vol.60 (2), p.148-152
Main Authors: Riedemann-Wistuba, M, Alonso-Pérez, M, Llaneza-Coto, J M
Format: Article
Language:Spanish
Subjects:
Adult
Diskectomy - adverse effects
Female
Humans
Iliac Artery - injuries
Iliac Artery - surgery
Lumbar Vertebrae - blood supply
Lumbar Vertebrae - surgery
Male
Middle Aged
Postoperative Complications - diagnosis
Postoperative Complications - therapy
Spinal Fusion - adverse effects
Vascular System Injuries - diagnosis
Vascular System Injuries - etiology
Vascular System Injuries - therapy
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Although there are currently less invasive techniques available for the treatment of spinal injuries, open surgery is still required in many cases. Vascular injuries occurring during lumbar spine surgery, although uncommon, are of great importance due to their potential gravity. Clinical manifestations vary from an acute hemorrhagic shock that needs urgent treatment to save the patient's life, to insidious injuries or an asymptomatic evolution, and should be studied to choose the best therapeutic alternative. Four cases are reported that represent this range of possibilities and emphasize the importance of a careful surgical technique during lumbar spine interventions, and the need for high clinical suspicion, essential for the early diagnosis of these vascular complications. The current therapeutic options are also discussed.
ISSN:1988-8856
DOI:10.1016/j.recot.2014.09.006