Thrombotic occlusion of the left: Common iliac artery after an anterior retroperitoneal approach to the lumbar spine

Joseph Marsicano, Yigal Mirovsky, Stuart Remer, Norman Bloom, Michael Neuwirth*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Thrombotic occlusion of the left common iliac artery occurred in a 59-year-old man after an anterior and posterior spinal fusion.Preoperatively, the patient was known to have peripheral yascular disease. Symptoms of an L4-5 radiculopathy were noted postoperatively. After an iliac-iliac bypess, the symptoms completely resolved. Retraction of the vessels during the anterior retroperitoneal approach was the presumed cause. To the authors' knowledge, this is the first report of a thrombotic occlusion developing in a patient after an anterior retroperitoneal approach to the lumbar spine. It is their hope that through an increased awareness similar complication will be prevented.

Original languageEnglish
Pages (from-to)357-359
Number of pages3
JournalSpine
Volume19
Issue number3
DOIs
StatePublished - Feb 1994
Externally publishedYes

Keywords

  • Retroperitoneal approach
  • Spinal fusion
  • Thrombosis
  • Vascular bypass
  • Vascular complication

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