Suppr超能文献

腰椎择期前路手术中的血管损伤:一项叙述性综述。

Vascular Injury in Elective Anterior Surgery of the Lumbar Spine: A Narrative Review.

作者信息

Pappa Eleni, Evangelopoulos Dimitrios Stergios, Benetos Ioannis S, Pneumaticos Spiridon

机构信息

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.

出版信息

Cureus. 2021 Dec 8;13(12):e20267. doi: 10.7759/cureus.20267. eCollection 2021 Dec.

Abstract

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.

摘要

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。

相似文献

1
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.
2
Complications of anterior lumbar surgery.
J Am Acad Orthop Surg. 2011 May;19(5):251-8. doi: 10.5435/00124635-201105000-00002.
4
Perioperative complications in revision anterior lumbar spine surgery: incidence and risk factors.
Spine (Phila Pa 1976). 2009 Jan 1;34(1):87-90. doi: 10.1097/BRS.0b013e3181918ad0.
6
Vascular injury and complication in neurosurgical spine surgery.
Acta Neurochir (Wien). 2006 Apr;148(4):375-87. doi: 10.1007/s00701-005-0669-1.
8
[Injury to major blood vessels in anterior thoracic and lumbar spinal surgery].
Acta Chir Orthop Traumatol Cech. 2006 Apr;73(2):92-8.
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
Vascular injury in elective anterior lumbosacral surgery.
Spine (Phila Pa 1976). 2010 Apr 20;35(9 Suppl):S66-75. doi: 10.1097/BRS.0b013e3181d83411.

引用本文的文献

1
Thoracic aortic injury as a complication of spinal surgery: A new case and systematic review (1991-2024).
J Vasc Surg Cases Innov Tech. 2025 Jul 9;11(6):101909. doi: 10.1016/j.jvscit.2025.101909. eCollection 2025 Dec.

本文引用的文献

1
Management of Vascular Complications during Anterior Lumbar Spinal Surgery Using Mini-Open Retroperitoneal Approach.
Ann Vasc Surg. 2021 Jul;74:475-488. doi: 10.1016/j.avsg.2021.01.077. Epub 2021 Feb 4.
2
Postoperative adverse events secondary to iatrogenic vascular injury during anterior lumbar spinal surgery.
Spine J. 2021 May;21(5):795-802. doi: 10.1016/j.spinee.2020.10.031. Epub 2020 Nov 3.
3
Increased vertebral exposure in anterior lumbar interbody fusion associated with venous injury and deep venous thrombosis.
J Vasc Surg Venous Lymphat Disord. 2021 Mar;9(2):423-427. doi: 10.1016/j.jvsv.2020.08.006. Epub 2020 Aug 12.
5
Anatomical Evaluation of Lumbar Arteries for Lateral Lumbar Interbody Fusion with Magnetic Resonance Imaging.
Spine Surg Relat Res. 2019 Sep 20;4(1):69-73. doi: 10.22603/ssrr.2019-0013. eCollection 2020.
6
Stand-alone anterior lumbar interbody fusion - complications and perioperative results.
Rev Bras Ortop. 2017 Sep 4;52(5):569-574. doi: 10.1016/j.rboe.2017.08.016. eCollection 2017 Sep-Oct.
7
Approach-Related Complications of Anterior Lumbar Interbody Fusion: Results of a Combined Spine and Vascular Surgical Team.
Global Spine J. 2016 Mar;6(2):147-54. doi: 10.1055/s-0035-1557141. Epub 2015 Jul 16.
8
Incidence of vascular complications arising from anterior spinal surgery in the thoraco-lumbar spine.
Asian Spine J. 2014 Feb;8(1):59-63. doi: 10.4184/asj.2014.8.1.59. Epub 2014 Feb 6.
9
Access-related complications in anterior lumbar surgery in patients over 60 years of age.
Eur Spine J. 2014 Apr;23 Suppl 1(Suppl 1):S86-92. doi: 10.1007/s00586-014-3211-4. Epub 2014 Feb 15.
10
Vascular complications from anterior lumbar spine surgery.
World Neurosurg. 2013 May-Jun;79(5-6):666-8. doi: 10.1016/j.wneu.2012.06.043. Epub 2012 Dec 13.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验