title: [Vascular complications associated with lumbar spinal surgery].
abstract: Although there are currently less invasive techniques available for the treatment of spinal injuries, open surgery is still required in many cases. Vascular injuries occurring during lumbar spine surgery, although uncommon, are of great importance due to their potential gravity. Clinical manifestations vary from an acute hemorrhagic shock that needs urgent treatment to save the patient's life, to insidious injuries or an asymptomatic evolution, and should be studied to choose the best therapeutic alternative. Four cases are reported that represent this range of possibilities and emphasize the importance of a careful surgical technique during lumbar spine interventions, and the need for high clinical suspicion, essential for the early diagnosis of these vascular complications. The current therapeutic options are also discussed.
authors: Servicio de Angiología y Cirugía Vascular, Hospital Universitario Central de Asturias, Oviedo, España. Electronic address: marielrw@gmail.com.
authors: M
authors: M
authors: Riedemann-Wistuba
authors: Servicio de Angiología y Cirugía Vascular, Hospital Universitario Central de Asturias, Oviedo, España.
authors: M
authors: M
authors: Alonso-Pérez
authors: Servicio de Angiología y Cirugía Vascular, Hospital Universitario Central de Asturias, Oviedo, España.
authors: J M
authors: JM
authors: Llaneza-Coto
mesh_terms: D000328:Adult; D017586:Diskectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000293:injuries* / Q000601:surgery; D008159:Lumbar Vertebrae / Q000098:blood supply / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D013123:Spinal Fusion / Q000009:adverse effects*; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
keywords: Iatrogenia; Iatrogenic; Lesión columna lumbar; Lesión vascular; Lumbar spine injury; Vascular lesions