Progressive thrombotic occlusion of the left common iliac artery after anterior lumbar interbody fusion.
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.
Khazim
R
R
Centre for Spinal Studies and Surgery, University Hospital, Queen's Medical Centre, Nottingham, United Kingdom.
Boos
N
N
Webb
J K
JK
D000328:Adult; D005260:Female; D006801:Humans; D007083:Iliac Artery; D008159:Lumbar Vertebrae / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D013123:Spinal Fusion; D013927:Thrombosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*