Incidence of Vascular Complications Arising from Anterior Spinal Surgery in the Thoraco-Lumbar Spine
| Autor: | Jan Štulík, Girish Swamy, Thomas Vyskocil, Z. Klezl, J Kryl |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Complications Left iliac vein Decompression business.industry Incidence (epidemiology) Anterior thoraco-lumbar approach lcsh:R lcsh:Medicine Vascular injury Spinal surgery Surgery medicine.anatomical_structure medicine Clinical Study Orthopedics and Sports Medicine Spinal canal Lumbar spine External iliac vein business Common iliac vein Surgical assistance |
| Zdroj: | Asian Spine Journal Asian Spine Journal, Vol 8, Iss 1, Pp 59-63 (2014) |
| ISSN: | 1976-7846 1976-1902 |
| Popis: | STUDY DESIGN Modern biomaterials and instrumentation have popularised surgery of the thoraco-lumbar spine through an anterior route. The advantage of anterior surgery is that it allows for a direct decompression of the compromised spinal canal. However, the potential for devastating long-term sequelae as a result of complications is high. PURPOSE The aim of this study was to give a general overview and identify the incidence of vascular complications. OVERVIEW OF LITERATURE There is limited literature describing the overall incidence and complications of anterior spinal surgery. METHODS A retrospective review of a prospective database of 1,262 consecutive patients with anterior surgery over a twelve-year period. RESULTS In our study, 1.58% (n=20) of patients suffered complications. Injury to a major vessel was encountered in 14 (1.11%) cases, of which nine involved an injury to the common iliac vein. In six cases, the original procedure was abandoned due to a life-threatening vascular injury (n=3) and unfavourable anatomy (n=3). CONCLUSIONS The incidence of vascular and other complications in our study was relatively low. Nevertheless, the potential for devastating long-term sequelae as a result of complications remains high. A thorough knowledge and awareness of normal and abnormal anatomy should be gained before attempting such a procedure, and a vascular surgical assistance especially should be readily accessible. We believe use of access surgeons is mandatory in cases with difficult or aberrant anatomy. |
| Databáze: | OpenAIRE |
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