Incidence of vascular complications arising from anterior spinal surgery in the thoraco-lumbar spine.
dc.contributor.author | Klezl, Zdenek | |
dc.contributor.author | Swamy, Girish | |
dc.date.accessioned | 2016-09-21T12:10:39Z | |
dc.date.available | 2016-09-21T12:10:39Z | |
dc.date.issued | 2014-02 | |
dc.identifier.citation | Asian Spine J. 2014 Feb;8(1):59-63. doi: 10.4184/asj.2014.8.1.59. Epub 2014 Feb 6. | language |
dc.identifier.uri | http://hdl.handle.net/20.500.12904/1041 | |
dc.description.abstract | STUDY DESIGN: Modern biomaterials and instrumentation have popularised surgery of the thoraco-lumbar spine through an anterior route. The advantage of anterior surgery is that it allows for a direct decompression of the compromised spinal canal. However, the potential for devastating long-term sequelae as a result of complications is high. PURPOSE: The aim of this study was to give a general overview and identify the incidence of vascular complications. OVERVIEW OF LITERATURE: There is limited literature describing the overall incidence and complications of anterior spinal surgery. METHODS: A retrospective review of a prospective database of 1,262 consecutive patients with anterior surgery over a twelve-year period. RESULTS: In our study, 1.58% (n=20) of patients suffered complications. Injury to a major vessel was encountered in 14 (1.11%) cases, of which nine involved an injury to the common iliac vein. In six cases, the original procedure was abandoned due to a life-threatening vascular injury (n=3) and unfavourable anatomy (n=3). CONCLUSIONS: The incidence of vascular and other complications in our study was relatively low. Nevertheless, the potential for devastating long-term sequelae as a result of complications remains high. A thorough knowledge and awareness of normal and abnormal anatomy should be gained before attempting such a procedure, and a vascular surgical assistance especially should be readily accessible. We believe use of access surgeons is mandatory in cases with difficult or aberrant anatomy. | language |
dc.language.iso | en | language |
dc.subject | Anterior Thoraco-Lumbar Approach | language |
dc.subject | Complications | language |
dc.subject | Vascular Injury | language |
dc.subject | Iliac Vein | language |
dc.title | Incidence of vascular complications arising from anterior spinal surgery in the thoraco-lumbar spine. | language |
dc.type | Article | language |