title: Pseudoaneurysm of the deep circumflex iliac artery: a rare complication at an anterior iliac bone graft donor site.
abstract: METHODS
  The formation of a pseudoaneurysm of the deep circumflex iliac artery after the harvesting of an anterior iliac bone graft for spinal fusion is reported.
  
  
  OBJECTIVE
  To describe a rare complication at an iliac bone graft donor site.
  
  
  BACKGROUND
  The iliac bone is a common site for harvesting bone for spinal surgery. Although many complications have been reported, vascular injuries associated with this procedure are rare. To the authors' knowledge, deep circumflex iliac artery injury has not been reported as a complication.
  
  
  METHODS
  A 70-year-old man with cervical myelopathy underwent anterior cervical decompression and fusion with an anterior iliac bone graft. Fracture displacement of the anterior superior iliac spine at the donor site was noted 1 week after a second operation, which was performed to reduce the displaced grafted bone. Five months after the second operation, he reported pain and swelling at the donor site. Removal of a hematoma was attempted, which led to massive bleeding that was difficult to control.
  
  
  RESULTS
  Angiography demonstrated a pseudoaneurysm of the deep circumflex iliac artery. Selective embolization of the artery was performed, and the bleeding was arrested.
  
  
  CONCLUSIONS
  Vascular injury after anterior iliac bone harvesting is rare but can occur. Selective arterial embolization was an effective solution.
authors.affiliation: Department of Orthopedic Surgery, Faculty of Medicine, Kyoto University, Kyoto, Japan. neo@kuhp.kyoto-u.ac.jp
authors.forename: M
authors.initials: M
authors.lastname: Neo
authors.forename: M
authors.initials: M
authors.lastname: Matsushita
authors.forename: T
authors.initials: T
authors.lastname: Morita
authors.forename: T
authors.initials: T
authors.lastname: Nakamura
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D000792:Angiography; D016025:Bone Transplantation / Q000009:adverse effects*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D007085:Ilium / Q000098:blood supply / Q000000981:diagnostic imaging / Q000637:transplantation*; D008297:Male; D011183:Postoperative Complications; D013123:Spinal Fusion; D014019:Tissue Donors; D014057:Tomography, X-Ray Computed