Clinical Neurodiagnostic Department, Sharp Memorial Hospital, San Diego, CA 92123, USA.
Spine (Phila Pa 1976). 2013 Apr 1;38(7):E436-9. doi: 10.1097/BRS.0b013e318286f239.
Report of a rare case of iliac artery occlusion occurring during posterior spinal surgery.
To clarify causes of an acute occlusion of iliac vessels during posterior spinal surgery.
Acute embolic occlusion of the iliac artery is a medical and surgical emergency. Iatrogenic occlusion of major vessels to the lower extremities during posterior lumbar spine operation is a rare entity.
We report this complication occurring during decompression and fusion in a 55-year-old female with history of diabetes, hyperlipidemia, and multivessels vascular disease. The application of somatosensory evoked potentials during this case detected an asymmetry of cortical responses due to low blood flow to the affected limb.
This patient underwent endovascular intervention and placement of stents to restore the flow to the limbs.
It is feasible to assume that continuous and direct pressure on the inguinal region during surgery on Jackson table was the primary cause of the iliac artery occlusion, particularly in these patients with known peripheral vascular disease. Early recognition and prompt vascular intervention can prevent serious sequelae.
报告一例罕见的后脊柱手术中发生的髂动脉闭塞病例。
阐明后脊柱手术中髂血管急性闭塞的原因。
髂动脉的急性栓塞性闭塞是一种医疗和外科急症。在后腰椎手术中，下肢主要血管的医源性闭塞是一种罕见的情况。
我们报告了一位 55 岁女性患者在减压和融合过程中出现的这种并发症，该患者有糖尿病、高血脂和多血管疾病史。在这个病例中应用体感诱发电位检测到由于受累肢体血流减少导致皮质反应的不对称。
该患者接受了血管内介入治疗和支架置入以恢复肢体血流。
可以假设手术中在 Jackson 手术台上对腹股沟区域的持续和直接压迫是髂动脉闭塞的主要原因，尤其是在这些已知患有外周血管疾病的患者中。早期识别和及时的血管介入可以预防严重的后果。
