Journal ArticleDOI
Vascular injury during spinal surgery
Eugene F. Reilly,Natalie Weger,Stanislaw P. Stawicki +2 more
- Vol. 3, Iss: 3, pp 39
TLDR
Iatrogenic vascular injury is a rare but well recognized complication of spinal surgery and should be used to diagnose the injury and define relevant vascular anatomy, according to core competencies.Abstract:
Key points: (a) Iatrogenic vascular injury is a rare but well recognized complication of spinal surgery; (b) The most serious injuries involve the aorta and its major branches; (c) Vascular injuries following spinal surgery can present early or late; (d) Early presentation usually involves intraoperative hemorrhage and may be associated with hemodynamic instability; (e) Injuries that present late include pseudoaneurysms and arteriovenous fistulae; (f) Arteriography– traditional, CT or MRI angiography– should be used to diagnose the injury and define relevant vascular anatomy; (g) Therapy may require surgery or interventional techniques. The following core competencies are addressed in this article: Medical knowledge, Patient care. Republished with permission from: Reilly EF, Weger NS, Stawicki SP. Vascular injury during spinal surgery. OPUS 12 Scientist 2008;2(2):7-10.read more
Citations
More filters
Journal ArticleDOI
Aortic Rupture During Surgical Management of Tubercular Spondylodiscitis.
Phani krishna karthik Yelamarthy,Rajat Mahajan,Tarush Rustagi,Vikas Tandon,Gururaj Sangondimath,Harvinder Singh Chhabra +5 more
TL;DR: A case of an aortic rupture that occurred during a posterior vertebral column resection (PVCR) procedure performed on a 58-year-old female with spastic paraparesis secondary to tuberculous spondylodiscitis and the lessons learnt are discussed.
Morphometric study of the anatomic relationship between large retroperitoneal blood vessels and intervertebral discs of the distal segment of the lumbar spine: a clinical significance.
TL;DR: In this article, the authors analyse potential clinical implications of the distance between large retroperitoneal vessels and lower segment of the lumbar spine in the supine and prone position.
References
More filters
Journal ArticleDOI
Placement of pedicle screws in the thoracic spine. part ii: an anatomical and radiographic assessment
Alexander R. Vaccaro,Steven J. Rizzolo,Richard A. Balderston,Thomas J. Allardyce,Steven R. Garfin,Carol A. Dolinskas,Howard S. An +6 more
TL;DR: Computerized tomographic scans of the thoracic spine in nineteen living controls who did not have a spinal abnormality confirmed the proximity of the posterior mediastinal structures to the misplaced screws.
Journal ArticleDOI
Vascular injury in anterior lumbar surgery
TL;DR: Although the authors are unaware of any major long-term morbidity from this complication in their patient group, they believe the true incidence of this potentially quite serious complication may be underestimated.
Journal ArticleDOI
Vascular injury during anterior lumbar surgery.
Salvador A. Brau,Rick B. Delamarter,Michael L. Schiffman,Lytton A. Williams,Robert G. Watkins +4 more
TL;DR: Because only five of these patients experienced significant sequelae from the approach, it appears that anterior lumbar surgery is quite safe, although it must be carried out with utmost respect for the vessels to avoid possible catastrophic outcomes.
Journal ArticleDOI
Improved accuracy of computer-assisted cervical pedicle screw insertion
TL;DR: In contrast to the previously reported computer-assisted technique, the CPS insertion technique provides real-time three-dimensional instrument/screw tip information that serves as a powerful tool for safe and accurate pedicle screw placement in the cervical spine.
Journal ArticleDOI
Vascular injury and complication in neurosurgical spine surgery.
Joji Inamasu,Bernard H. Guiot +1 more
TL;DR: It is not clear, however, whether the incidence of vascular injury has been reduced significantly in all procedures of spine surgery, and emerging new techniques, such as microendoscopic discectomy and lumbar disc arthroplasty, seem to be promising, but the authors need to keep in mind their safety issues.