Vascular complications related to lumbar disc surgery

2004 ◽  
Vol 100 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Hakan Bingol ◽  
Faruk Cingoz ◽  
Ahmet Turan Yilmaz ◽  
Mehmet Yasar ◽  
Harun Tatar
Keyword(s):  
Vascular Injury ◽  
Postoperative Period ◽  
Lumbar Disc ◽  
Vascular Complications ◽  
Lumbar Disc Surgery ◽  
Dacron Graft ◽  
Content Type ◽  
Disc Surgery ◽  
Late Postoperative Period ◽  
Fine Print

Object. Vascular complications related to lumbar disc operations are rare but extremely fatal conditions. The authors analyzed data retrospectively obtained in 13 patients with vascular complications that occurred during lumbar disc operations performed between January 1990 and January 2002. Methods. One patient underwent an L5—S1 procedure and the remaining underwent L4–5 surgery. Missed injuries, which were found during the late postoperative period, included pseudoaneurysm in four cases and an arteriovenous fistula in one. In all cases except one in which complication occurred early in the postoperative period, the retroperitoneal area was reached via a transperitoneal approach. In eight patients with complications occurring early in the postoperative period, Dacron graft was placed in four with arterial injuries and saphenous vein graft in one. In three cases of arterial injury and five of venous injury, the lesion was repaired using the primer suture technique. The most commonly affected vessels were left common iliac arteries (76.9%) and left common iliac vein (30.8%). In eight early cases, shock or preshock due to hemorrhage developed during the early phase. During the late postoperative period, graft-related infection occurred in two cases in which Dacron graft was placed, and axillofemoral extraanatomical bypass surgery was later performed. There was no surgery-related death. During a mean follow-up period of 5.6 years, none of the patients suffered any problems related to vascular injury. Conclusions. Despite its low incidence, iatrogenic vascular injury related to lumbar disc surgery is a possible complication. During lumbar disc operations early diagnosis of vascular injuries and urgent transperitoneal surgery can save patients' lives.

Modified disc rongeur

1975 ◽  
Vol 43 (4) ◽  
pp. 504
Author(s):  
Peter A. Lake
Keyword(s):  
Lumbar Disc ◽  
Abdominal Cavity ◽  
Lumbar Disc Surgery ◽  
Content Type ◽  
Disc Surgery ◽  
Fine Print

✓ The author presents a modification of a standard pituitary rongeur, designed to avoid instrument penetration into the abdominal cavity during lumbar disc surgery.

Approach to the vascular complications of lumbar disc surgery

Vascular ◽  
2013 ◽  
Vol 21 (2) ◽  
pp. 79-82 ◽  
Author(s):  
Sahin Bozok ◽  
Gokhan Ilhan ◽  
Bugra Destan ◽  
Orhan Gokalp ◽  
Tevfik Gunes
Keyword(s):  
Vascular Injury ◽  
Lumbar Disc ◽  
Tertiary Care ◽  
Vascular Complications ◽  
Lumbar Disc Surgery ◽  
Effective Control ◽  
Common Iliac Vein ◽  
Transperitoneal Approach ◽  
Disc Surgery ◽  
Surgical Methods

The objective of this study was to demonstrate the role of major surgery on patients presenting with vascular complications after lumbar disc surgery. A retrospective analysis of seven cases treated surgically in two tertiary care centers between August 2001 and June 2010 was carried out. The average age of patients (three women and four men) was 35.8 ± 7.2. The most common vessel injured was the left common iliac artery occurring in five patients (71.4%), followed by the left common iliac vein injury detected in two patients (28.5%). Transperitoneal approach was preferred in all cases and primary suturing, graft interposition and end-to-end anastomoses were the surgical methods used for the repair of vascular injury. No mortality was seen in our series during the follow-up period of two years; however, the most noteworthy complication was paraplegia occurring in one patient. Vascular injury occurring at lumbar discus surgery has a considerable potential for morbidity and mortality. A high index of suspicion is necessary for early diagnosis. In hemodynamically instable patients, the transperitoneal approach provides better exposure and more effective control of hemorrhage, while minimal angiography and endovascular intervention should be preserved for hemodynamically stable cases.

Ureteral injury incident to lumbar disc surgery

1972 ◽  
Vol 36 (1) ◽  
pp. 90-92 ◽  
Author(s):  
Mauro P. Gangai
Keyword(s):  
Early Recognition ◽  
Lumbar Disc ◽  
Ureteral Injury ◽  
Lumbar Disc Surgery ◽  
Mechanism Of Injury ◽  
Content Type ◽  
Disc Surgery ◽  
Fine Print

✓ A case is reported in which combined vascular and ureteral injury occurred during lumbar disc surgery. The mechanism of injury is described and the importance of its early recognition emphasized.

Paresthesias after lumbar disc removal and their relationship to epidural hematoma

1982 ◽  
Vol 57 (1) ◽  
pp. 135-136 ◽  
Author(s):  
Leonardo Di Lauro ◽  
Roberto Poli ◽  
Marco Bortoluzzi ◽  
Giovanni Marini
Keyword(s):  
Epidural Hematoma ◽  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Good Recovery ◽  
Content Type ◽  
Disc Surgery ◽  
Fine Print

✓ The authors present two cases of epidural hematoma causing paresthesias and paresis after lumbar disc surgery. Good recovery followed removal of the hematomas.

Reduction of postoperative lumbar hemilaminectomy pain with Marcaine

1979 ◽  
Vol 51 (1) ◽  
pp. 126-127 ◽  
Author(s):  
John B. Mullen ◽  
Wesley A. Cook
Keyword(s):  
Postoperative Pain ◽  
Local Anesthetic ◽  
Marked Reduction ◽  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Content Type ◽  
Disc Surgery ◽  
Long Acting ◽  
Fine Print

✓ A technique is described using intraoperative infiltration of paravertebral musculature with Marcaine, a long-acting local anesthetic. This has resulted in a marked reduction of postoperative pain following lumbar disc surgery.

Spondylolisthesis following lumbar disc surgery in a child

1971 ◽  
Vol 34 (4) ◽  
pp. 563-568 ◽  
Author(s):  
Arthur Kobrine ◽  
Paul C. Bucy
Keyword(s):  
Intervertebral Disc ◽  
Case Reports ◽  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Lumbar Intervertebral Disc ◽  
Related Case ◽  
Content Type ◽  
Disc Surgery ◽  
Roentgenographic Examination ◽  
Fine Print

✓ The case of a 13-year-old boy with a gelatinous, herniated lumbar intervertebral disc is reported. Roentgenographic examination 8 years following laminectomy demonstrated spondylolysis and spondylolisthesis of L-5 on S-1. Related case reports and theories are tabulated and discussed.

Exposure of two interspaces for lumbar disc surgery

1975 ◽  
Vol 42 (1) ◽  
pp. 59-60 ◽  
Author(s):  
W. Robert Hudgins
Keyword(s):  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Matched Pairs ◽  
Content Type ◽  
Disc Surgery ◽  
Additional Surgery ◽  
Fine Print

✓ In a study of matched pairs of patients with a single ruptured disc, exploration of an additional lumbar interspace did not increase the morbidity of surgery. The author believes that the desire to avoid additional surgery does not, by itself, justify routine myelography.

Lumbar disc surgery: technique of radical removal and early mobilization

1973 ◽  
Vol 39 (2) ◽  
pp. 265-269 ◽  
Author(s):  
William Beecher Scoville ◽  
Guy Corkill
Keyword(s):  
Lumbar Disc ◽  
Early Mobilization ◽  
Lumbar Disc Surgery ◽  
Content Type ◽  
Exercise Regime ◽  
Disc Surgery ◽  
Disc Material ◽  
Radical Removal ◽  
Immediate Mobilization ◽  
Fine Print

✓ The operative technique and results of radical removal and early mobilization in lumbar disc surgery are presented. The operation involves decompression of the nerve root ventrally and dorsally and radical removal of disc material. The importance of immediate mobilization and an exercise regime without braces is stressed. Spondylolisthesis with sciatica is treated as a simple disc. The results were good to excellent in 96% of the patients, with a return to work in 2 to 4 weeks. The recurrence rate in 779 cases over 10 years has averaged 2.7%.

Intraspinal extradural sensory rhizotomy in patients with failure of lumbar disc surgery

1981 ◽  
Vol 54 (2) ◽  
pp. 193-196 ◽  
Author(s):  
Timothy A. Strait ◽  
Samuel E. Hunter
Keyword(s):  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Content Type ◽  
Operative Results ◽  
Disc Surgery ◽  
Level Of Activity ◽  
Back Surgery ◽  
Fine Print

✓ Questionnaires were sent to 60 patients who had undergone an intraspinal extradural sensory rhizotomy after failure of back surgery to assess the efficacy of the procedure. Questionnaires were returned from 47 patients. The operative results were uniformly poor in improving the level of activity of the patient. However, nearly 60% of the patients obtained relief of their pain. Section of only one root, either L-5 or S-1, relieved pain in 50% of the cases. Section of both roots, L-5 and S-1, appeared more effective, since 66% of these patients were relieved of their pain. The technique of performing an intraspinal extradural sensory rhizotomy is discussed in detail.

Late Vascular Complications of Lumbar Disc Surgery — Case Reports

1988 ◽  
Vol 22 (5) ◽  
pp. 361-366
Author(s):  
Ertan Onursal ◽  
Bingur Sonmez ◽  
Mehmet Ali Bedirhan ◽  
Aydin Kargi ◽  
Suat Cesmeci ◽  
...  
Keyword(s):  
Case Reports ◽  
Lumbar Disc ◽  
Vascular Complications ◽  
Lumbar Disc Surgery ◽  
Disc Surgery
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