术中神经生理监测诊断前路腰椎手术中左侧髂动脉损伤。
Left iliac artery injury during anterior lumbar spine surgery diagnosed by intraoperative neurophysiological monitoring.
机构信息
Department of Neurological Surgery, Harborview Medical Center, University of Washington School of Medicine, Box 359766, Patricia Steel Bldg 401 Broadway, Seattle, WA 98104, USA.
出版信息
Eur Spine J. 2010 Jul;19 Suppl 2(Suppl 2):S203-5. doi: 10.1007/s00586-010-1372-3. Epub 2010 Apr 17.
Abstract
Serious vascular injury is a rare, but potentially devastating complication during anterior lumbar spinal surgery. The authors describe the first reported case where vascular injury was detected by multimodality neurophysiological monitoring during an L3-S1 anterior lumbar interbody fusion. The case demonstrates the need for multi-modality monitoring and the combined use of somatosensory-evoked potentials and motor-evoked potentials.
摘要
严重的血管损伤是一种罕见但潜在危险的并发症，可发生于前路腰椎手术中。作者报道了首例在 L3-S1 前路腰椎椎间融合术中，通过多模态神经生理监测发现血管损伤的病例。该病例提示了多模态监测的必要性以及体感诱发电位和运动诱发电位联合应用的价值。
相似文献
1
Left iliac artery injury during anterior lumbar spine surgery diagnosed by intraoperative neurophysiological monitoring.
Eur Spine J. 2010 Jul;19 Suppl 2(Suppl 2):S203-5. doi: 10.1007/s00586-010-1372-3. Epub 2010 Apr 17.
2
Intraoperative neuromonitoring detects thrombotic occlusion of the left common iliac arterial bifurcation after anterior lumbar interbody fusion: case report.
J Spinal Disord Tech. 2007 Feb;20(1):104-8. doi: 10.1097/01.bsd.0000211280.60777.bd.
3
Nerve monitoring changes related to iliac artery compression during anterior lumbar spine surgery.
Spine J. 2003 Sep-Oct;3(5):351-5. doi: 10.1016/s1529-9430(03)00067-6.
4
Continuous somatosensory evoked potentials monitoring is highly sensitive to intraoperative occlusion of iliac artery during anterior lumbar interbody fusion: case report.
Electromyogr Clin Neurophysiol. 2009 Jul-Aug;49(5):223-6.
5
Anterior exposure of the lumbar spine with and without an "access surgeon": morbidity analysis of 265 consecutive cases.
J Spinal Disord Tech. 2009 Dec;22(8):559-64. doi: 10.1097/BSD.0b013e318192e326.
6
Arterial complications following anterior lumbar interbody fusion: report of eight cases.
Eur Spine J. 2003 Feb;12(1):48-54. doi: 10.1007/s00586-002-0460-4. Epub 2002 Nov 1.
7
Saphenous nerve somatosensory evoked potentials: a novel technique to monitor the femoral nerve during transpsoas lumbar lateral interbody fusion.
Spine (Phila Pa 1976). 2014 Jul 1;39(15):1254-60. doi: 10.1097/BRS.0000000000000357.
8
Vascular injury during anterior lumbar surgery.
Spine J. 2004 Jul-Aug;4(4):409-12. doi: 10.1016/j.spinee.2003.12.003.
9
Brief intraoperative heparinization and blood loss in anterior lumbar spine surgery.
J Neurosurg Spine. 2015 Sep;23(3):309-13. doi: 10.3171/2014.12.SPINE14888. Epub 2015 Jun 5.
10
Use of motor evoked potentials during lateral lumbar interbody fusion reduces postoperative deficits.
Spine J. 2018 Oct;18(10):1763-1778. doi: 10.1016/j.spinee.2018.02.024. Epub 2018 Apr 3.
引用本文的文献
1
Is the Use of Intraoperative Neuromonitoring Justified During Lumbar Anterior Approach Surgery?
Int J Spine Surg. 2025 Jun 12;19(3):351-352. doi: 10.14444/8764.
2
Vascular injuries and complications in anterior lumbar interbody fusion: an up-to-date review.
J Med Life. 2025 Mar;18(3):165-170. doi: 10.25122/jml-2024-0345.
3
Intraoperative somatosensory evoked potential (SEP) monitoring: an updated position statement by the American Society of Neurophysiological Monitoring.
J Clin Monit Comput. 2024 Oct;38(5):1003-1042. doi: 10.1007/s10877-024-01201-x. Epub 2024 Jul 27.
4
Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review.
Medicine (Baltimore). 2023 Nov 24;102(47):e36142. doi: 10.1097/MD.0000000000036142.
5
Vascular Injury in Elective Anterior Surgery of the Lumbar Spine: A Narrative Review.
Cureus. 2021 Dec 8;13(12):e20267. doi: 10.7759/cureus.20267. eCollection 2021 Dec.
本文引用的文献
1
Vascular injury and complication in neurosurgical spine surgery.
Acta Neurochir (Wien). 2006 Apr;148(4):375-87. doi: 10.1007/s00701-005-0669-1.
2
Vascular injury during anterior lumbar surgery.
Spine J. 2004 Jul-Aug;4(4):409-12. doi: 10.1016/j.spinee.2003.12.003.
3
Nerve monitoring changes related to iliac artery compression during anterior lumbar spine surgery.
Spine J. 2003 Sep-Oct;3(5):351-5. doi: 10.1016/s1529-9430(03)00067-6.
4
Arterial complications following anterior lumbar interbody fusion: report of eight cases.
Eur Spine J. 2003 Feb;12(1):48-54. doi: 10.1007/s00586-002-0460-4. Epub 2002 Nov 1.
5
Occlusion of the left common iliac artery and consecutive thromboembolism of the left popliteal artery following anterior lumbar interbody fusion.
J Spinal Disord. 2001 Aug;14(4):365-8. doi: 10.1097/00002517-200108000-00015.
6
Progressive thrombotic occlusion of the left common iliac artery after anterior lumbar interbody fusion.
Eur Spine J. 1998;7(3):239-41. doi: 10.1007/s005860050064.
7
Occlusion of the left iliac artery after retroperitoneal exposure of the spine.
Clin Orthop Relat Res. 1997 May(338):86-9. doi: 10.1097/00003086-199705000-00012.
8
Thrombotic occlusion of the left common iliac artery after an anterior retroperitoneal approach to the lumbar spine.
Spine (Phila Pa 1976). 1994 Feb 1;19(3):357-9. doi: 10.1097/00007632-199402000-00019.
9
The surgical and medical perioperative complications of anterior spinal fusion surgery in the thoracic and lumbar spine in adults. A review of 1223 procedures.
Spine (Phila Pa 1976). 1995 Jul 15;20(14):1592-9. doi: 10.1097/00007632-199507150-00007.
Zotero 插件