Khazim R, Boos N, Webb J K
Centre for Spinal Studies and Surgery, University Hospital, Queen's Medical Centre, Nottingham, United Kingdom.
Eur Spine J. 1998;7(3):239-41. doi: 10.1007/s005860050064.
We report a case of progressive thrombotic occlusion of the left common iliac artery in a 41-year-old woman after anterior interbody fusion, which initially presented only as a sensation of numbness. Diagnosis was delayed until complete arterial occlusion occurred 36 h after surgery. A sensory deficit may be the only early sign of a progressive thrombotic arterial occlusion. In anterior spinal surgery, routine postoperative vascular monitoring of the lower extremities is recommended and mandatory for early diagnosis and treatment of this rare complication.
我们报告了一例41岁女性在前路椎间融合术后发生左髂总动脉进行性血栓闭塞的病例，该病例最初仅表现为麻木感。诊断延迟至术后36小时出现完全动脉闭塞。感觉障碍可能是进行性血栓性动脉闭塞的唯一早期迹象。在前路脊柱手术中，建议常规对下肢进行术后血管监测，对于早期诊断和治疗这种罕见并发症是必不可少的。
