Left iliac artery injury during anterior lumbar spine surgery diagnosed by intraoperative neurophysiological monitoring.
Serious vascular injury is a rare, but potentially devastating complication during anterior lumbar spinal surgery. The authors describe the first reported case where vascular injury was detected by multimodality neurophysiological monitoring during an L3-S1 anterior lumbar interbody fusion. The case demonstrates the need for multi-modality monitoring and the combined use of somatosensory-evoked potentials and motor-evoked potentials.
Nair
M Nathan
MN
Department of Neurological Surgery, Harborview Medical Center, University of Washington School of Medicine, Box 359766, Patricia Steel Bldg 401 Broadway, Seattle, WA 98104, USA.
Ramakrishna
Rohan
R
Slimp
Jeff
J
Kinney
Gregory
G
Chesnut
Randall M
RM
D004568:Electrodiagnosis / Q000379:methods*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000033:anatomy & histology / Q000293:injuries* / Q000601:surgery; D016268:Internal Fixators; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D011237:Predictive Value of Tests; D011859:Radiography; D013123:Spinal Fusion / Q000009:adverse effects* / Q000379:methods
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