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KMID : 0361620170520050448
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Journal of the Korean Orthopaedic Association
2017 Volume.52 No. 5 p.448 ~ p.452
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Vascular Injury in Posterior Lumbar Spinal Surgery
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Chung Young-Woo
Chung Sang-Young
Lee Tae-Min
Yeo Je-Hyoung
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Abstract
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Vascular complications are uncommon, but it may pose a serious problem in posterior spinal surgery. Vascular injury during lumbar spinal surgery should be suspected if symptoms of circulatory instability are noted. If vascular injury is suspected, a contrast enhanced computed tomography should be checked and proper management, i.e., interventional treatment or surgery should be performed. To date, there have only been a few reports regarding vascular injuries during posterior lumbar spinal surgery. Clinicians should pay attention to signs of vascular injury during posterior spinal surgery, and accordingly, promptly perform treatment. In two patients with retroperitoneal hemorrhage, extravasation of the common iliac arteries was successfully repaired. One patient with pseudoaneurysm was treated by stent placement.
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KEYWORD
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vascular system injuries, lumbar vertebrae, diskectomy
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