Lazio B E, Staab M, Stambough J L, Hurst J M
University of Cincinnati College of Medicine, Ohio.
J Spinal Disord. 1993 Feb;6(1):83-6.
Anterior spinal surgery is a common part of the treatment for spinal trauma and deformity. Two cases of an unusual postoperative complication of the surgical exposure for anterior spinal fusion with rib strut grafts are herein reviewed. In each case, the patient presented 3-6 months postoperatively with a large, painful mass along the posterior axillary line near the surgical incision. The mass was diagnosed as a rupture of the latissimus dorsi. The cause of this disruption is unclear, but it appears to be a complication of the surgical approach; therefore, surgeons performing transthoracic and thoracoabdominal approaches should be aware of it.
前路脊柱手术是脊柱创伤和畸形治疗的常见组成部分。本文回顾了两例使用肋骨支撑植骨进行前路脊柱融合手术暴露后出现的罕见术后并发症。在每例病例中，患者在术后3 - 6个月时，在手术切口附近的腋后线处出现一个大的、疼痛性肿块。该肿块被诊断为背阔肌破裂。这种破坏的原因尚不清楚，但似乎是手术入路的一种并发症；因此，实施经胸和胸腹联合入路的外科医生应予以注意。
