Thrombotic occlusion of the left common iliac artery after an anterior retroperitoneal approach to the lumbar spine.
Thrombotic occlusion of the left common iliac artery occurred in a 59-year-old man after an anterior and posterior spinal fusion. Preoperatively, the patient was known to have peripheral vascular disease. Symptoms of an L4-5 radiculopathy were noted postoperatively. After an iliac-iliac bypass, the symptoms completely resolved. Retraction of the vessels during the anterior retroperitoneal approach was the presumed cause. To the authors' knowledge, this is the first report of a thrombotic occlusion developing in a patient after an anterior retroperitoneal approach to the lumbar spine. It is their hope that through an increased awareness similar complication will be prevented.
Marsicano
J
J
Department of Orthopaedic Surgery, Hospital for Joint Diseases/Orthopaedic Institute, New York, New York.
Mirovsky
Y
Y
Remer
S
S
Bloom
N
N
Neuwirth
M
M
D001161:Arteriosclerosis / Q000453:epidemiology; D001863:Bone Screws; D006801:Humans; D007083:Iliac Artery; D007405:Intervertebral Disc Displacement / Q000453:epidemiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013123:Spinal Fusion / Q000009:adverse effects*; D013927:Thrombosis / Q000453:epidemiology / Q000209:etiology*