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.
Centre for Spinal Studies and Surgery, University Hospital, Queen's Medical Centre, Nottingham, United Kingdom.
R
R
Khazim
N
N
Boos
J K
JK
Webb
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*