Repositioning Suture of the Erector Spinae Muscle for Lumbar Spine Surgery via the Posterior Approach: A Prospective Randomized Study

2013 ◽  
Vol 69 (1) ◽  
pp. 75-80
Author(s):  
Yu-Jie Wu ◽  
Zhi-Yi Fu ◽  
Xiao-Peng Hu ◽  
Jiang Shao ◽  
Xing-Zhen Liu ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Posterior Approach ◽  
Randomized Study ◽  
Erector Spinae ◽  
Prospective Randomized Study ◽  
Lumbar Spine Surgery ◽  
Erector Spinae Muscle

Damage to vessels and retroperitoneal organs during lumbar spine surgery through the posterior approach

2018 ◽  
Vol 20 (2) ◽  
pp. 35-42
Author(s):  
A. A. Grin’ ◽  
R. A. Kovalenko ◽  
N. А. Konovalov ◽  
D. V. Efimov ◽  
A. V. Antonov ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Posterior Approach ◽  
Iliac Vein ◽  
Herniated Disc ◽  
Lumbar Spine Surgery ◽  
Common Iliac Vein ◽  
Study Objective ◽  
Left Common Iliac Vein ◽  
Abdominal Organs

The study objective is to summarize the existing literature and own experience related to damage to vessels, retroperitoneal organs, and abdominal organs during lumbar spine surgery through the posterior approach, as well as to identify risk factors associated with this damage and to describe measures for their elimination and prevention.Materials and methods. In addition to analyzing the research literature, we also described 9 cases (3 males and 6 females; mean age 52 ± 9 years) of intraoperative damage to vessels and adjacent organs during lumbar spine surgery for some degenerative disease, including herniated disc (n = 7), anterolisthesis (n = 1), and vertebral-motor segment instability (n = 1). The surgery was performed at the L4–L5 level (n = 7) and L5–S1 level (n = 2). Results. The damages observed in the cohort analyzed were caused by a conchotome (n = 6), transpedicular screw (n = 1), Volkmann spoon (n = 1), and a tip of the SpineJet Hydrodiscectomy System (n = 1). The following structures were damaged; left common iliac vein (n = 2), left common iliac artery (n = 2), left common iliac vein and root of the small-bowel mesentery (n = 1), sigmoid colon (n = 1), aorta (n = 1), inferior vena cava (n = 1), and aortocaval anastomosis (n = 1). Five patients had intraoperative hemorrhagic complications. Four patients were found to have damage to vessels or abdominal organs later (1 h, 2 h, 3 days, and 4 months postoperatively). Four patients were discharged without consequences; 2 patients became disabled; 3 patients died.Conclusion. Damage to vessels, retroperitoneal organs, and abdominal organs during lumbar spine surgery through the posterior approach is a rare, but mortally dangerous complication. Spine surgery should be performed in multi-unit hospitals that have a surgery unit, a vascular surgery unit, an intensive care unit, and a sufficient supply of blood for transfusion.

Comparison between remifentanil and fentanyl for lumbar spine surgery: a double-blind randomized study

2000 ◽  
Vol 17 (Supplement 19) ◽  
pp. 121-122
Author(s):  
E. Facco ◽  
M. Munari ◽  
F. Gallo ◽  
S. M. Volpin ◽  
F. Baratto ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Randomized Study ◽  
Lumbar Spine Surgery ◽  
Double Blind

Anaesthetic requirement and stress hormone responses in patients undergoing lumbar spine surgery: anterior vs. posterior approach

2009 ◽  
Vol 53 (8) ◽  
pp. 1012-1017 ◽  
Author(s):  
K. Y. YOO ◽  
M. K. LEE ◽  
C. W. JEONG ◽  
S. J. KIM ◽  
S. T. JEONG ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Posterior Approach ◽  
Lumbar Spine Surgery ◽  
Stress Hormone ◽  
Hormone Responses

A Randomized Study of Closed Wound Suction Drainage for Extensive Lumbar Spine Surgery

Spine ◽  
2004 ◽  
Vol 29 (10) ◽  
pp. 1066-1068 ◽  
Author(s):  
Mark D. Brown ◽  
Kathleen F.W. Brookfield
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Randomized Study ◽  
Lumbar Spine Surgery ◽  
Suction Drainage

Transient paraplegia in lumbar spine surgery—a potential complication following erector spinae plane block

2021 ◽  
Author(s):  
K. Guna Pratheep ◽  
Kartik Sonawane ◽  
Shanmuganathan Rajasekaran ◽  
Ajoy Prasad Shetty ◽  
Balavenkat J Subramanian ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Erector Spinae ◽  
Lumbar Spine Surgery ◽  
Potential Complication ◽  
Erector Spinae Plane Block
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