Incidence of Vascular Complications Arising from Anterior Spinal Surgery in the Thoraco-Lumbar Spine
Asian Spine Journal
;
: 59-63, 2014.
Article
in English
| WPRIM
| ID: wpr-178767
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spinal Canal
/
Spine
/
Biocompatible Materials
/
Incidence
/
Prospective Studies
/
Retrospective Studies
/
Decompression
/
Vascular System Injuries
/
Iliac Vein
Type of study:
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Asian Spine Journal
Year:
2014
Type:
Article
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