Pappa Eleni, Evangelopoulos Dimitrios Stergios, Benetos Ioannis S, Pneumaticos Spiridon
5th Orthopaedic Department, KAT General Hospital, Athens, GRC.
3rd Orthopaedic Department, KAT General Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Cureus. 2021 Dec 8;13(12):e20267. doi: 10.7759/cureus.20267. eCollection 2021 Dec.
The incidence of anterior lumbar surgery is increasing as the population is aging. Although adverse events regarding vasculature injury are uncommon, several have been described in the current literature. Complications can be categorized based on the time of occurrence, more specifically intraoperative or postoperative, but also regarding the nature of vascular damage such as thrombosis, occlusion, or rupture. The rate of complications is higher in the setting of revision anterior surgery than with primary anterior lumbar surgery. Moreover, the incidence of revision anterior surgery is also increasing in contrast to the past. Through this narrative review, an effort is made for a thorough understanding of the complications associated with anterior lumbar surgery, which will aid in the prevention, recognition, and management of this rare complication.
随着人口老龄化，腰椎前路手术的发生率正在上升。尽管血管损伤相关的不良事件并不常见，但当前文献中已有多例相关报道。并发症可根据发生时间进行分类，更具体地说是术中或术后，也可根据血管损伤的性质分类，如血栓形成、闭塞或破裂。翻修前路手术中并发症的发生率高于初次腰椎前路手术。此外，与过去相比，翻修前路手术的发生率也在增加。通过这篇叙述性综述，旨在全面了解与腰椎前路手术相关的并发症，这将有助于预防、识别和处理这种罕见并发症。
