Akinola Bolarinwa, Charnley Godfrey
Department of Orthopaedics and Trauma, Broomfield Hospital, Chelmsford, United Kingdom.
J Orthop Surg (Hong Kong). 2013 Dec;21(3):369-71. doi: 10.1177/230949901302100321.
A 31-year-old woman presented with persistent left leg pain 3 weeks after revision lumbar surgery. She had numbness of the leg immediately after surgery, followed by intense, spasmodic pain 4 days later, which was managed with analgesia. Subsequent computed tomographic angiography demonstrated occlusion of the left common iliac artery. This had been missed by her spinal surgeon and by physicians in our emergency department in 2 separate visits. Vascular complications of anterior spinal surgery can be limb- or life-threatening. A high index of suspicion is necessary.
一名31岁女性在腰椎翻修手术后3周出现左腿持续疼痛。术后她立即感到腿部麻木，4天后出现剧烈的痉挛性疼痛，通过镇痛治疗。随后的计算机断层血管造影显示左髂总动脉闭塞。这一情况在她的脊柱外科医生以及我们急诊科的医生分别两次就诊时均被漏诊。前路脊柱手术的血管并发症可能危及肢体或生命。必须保持高度的怀疑指数。
