Marsicano J, Mirovsky Y, Remer S, Bloom N, Neuwirth M
Department of Orthopaedic Surgery, Hospital for Joint Diseases/Orthopaedic Institute, New York, New York.
Spine (Phila Pa 1976). 1994 Feb 1;19(3):357-9. doi: 10.1097/00007632-199402000-00019.
Thrombotic occlusion of the left common iliac artery occurred in a 59-year-old man after an anterior and posterior spinal fusion. Preoperatively, the patient was known to have peripheral vascular disease. Symptoms of an L4-5 radiculopathy were noted postoperatively. After an iliac-iliac bypass, the symptoms completely resolved. Retraction of the vessels during the anterior retroperitoneal approach was the presumed cause. To the authors' knowledge, this is the first report of a thrombotic occlusion developing in a patient after an anterior retroperitoneal approach to the lumbar spine. It is their hope that through an increased awareness similar complication will be prevented.
一名59岁男性在前后路脊柱融合术后发生左髂总动脉血栓闭塞。术前已知该患者患有外周血管疾病。术后出现L4-5神经根病症状。在进行髂-髂动脉搭桥术后，症状完全缓解。推测病因是腹膜后前路手术过程中血管的牵拉。据作者所知，这是首例关于腰椎腹膜后前路手术后患者发生血栓闭塞的报告。他们希望通过提高认识来预防类似并发症。
