Josip Buric1, Domenico Bombardieri2. 1. Villa Torri Hospital, Bologna, Italy. joburic77@gmail.com. 2. Villa Torri Hospital, Bologna, Italy.
Abstract
PURPOSE: Description of a case of direct intraoperative lesion and repair of a major vascular injury of common iliac vein during an extreme lateral interbody fusion L4-L5 procedure. METHODS: A 69-year-old female who was operated for L4-L5 spondilolysthesis suffered a major vascular injury of a vein. The high cava bifurcation and inadequate pre-operative analysis of the radiological documentation resulted in the lesion. The lesion was successfully repaired and the patient did not suffer post-operative sequelae. RESULTS: The repair was successful although the index spine procedure was not ended. Detailed pre-operative planning, based on radiological examination of vascular structures, should be a mandatory step prior to this specific surgical approach. CONCLUSION: Although safer than anterior retroperitoneal approach, extreme lateral interbody fusion still bears risk for major vascular injury.
PURPOSE: Description of a case of direct intraoperative lesion and repair of a major vascular injury of common iliac vein during an extreme lateral interbody fusion L4-L5 procedure. METHODS: A 69-year-old female who was operated for L4-L5 spondilolysthesis suffered a major vascular injury of a vein. The high cava bifurcation and inadequate pre-operative analysis of the radiological documentation resulted in the lesion. The lesion was successfully repaired and the patient did not suffer post-operative sequelae. RESULTS: The repair was successful although the index spine procedure was not ended. Detailed pre-operative planning, based on radiological examination of vascular structures, should be a mandatory step prior to this specific surgical approach. CONCLUSION: Although safer than anterior retroperitoneal approach, extreme lateral interbody fusion still bears risk for major vascular injury.
Entities:
Keywords:
Complications; Direct repair; Vascular injury; XLIF
Authors: Kirkham B Wood; John Devine; Dena Fischer; Joseph R Dettori; Michael Janssen Journal: Spine (Phila Pa 1976) Date: 2010-04-20 Impact factor: 3.468
Authors: Salvador A Brau; Rick B Delamarter; Michael L Schiffman; Lytton A Williams; Robert G Watkins Journal: Spine J Date: 2004 Jul-Aug Impact factor: 4.166
Authors: Gary A Fantini; Ioannis P Pappou; Federico P Girardi; Harvinder S Sandhu; Frank P Cammisa Journal: Spine (Phila Pa 1976) Date: 2007-11-15 Impact factor: 3.468
Authors: Alexander O Aguirre; Mohamed A R Soliman; Shady Azmy; Asham Khan; Patrick K Jowdy; Jeffrey P Mullin; John Pollina Journal: Neurosurg Rev Date: 2021-12-01 Impact factor: 3.042