| External iliac artery occlusion in posterior spinal surgery. | |
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MedLine Citation:
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PMID: 10222536 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY DESIGN: Report of a case of external iliac artery occlusion occurring as a rare complication of lumbar posterior spinal surgery. OBJECTIVE: To clarify the cause of this rare complication and recommend methods for preventing its recurrence. SUMMARY OF BACKGROUND DATA: Several cases of central retinal artery occlusion after posterior spinal surgery have been reported, but there has been no reported case of external iliac artery occlusion after posterior spinal surgery. METHODS: A 65-year-old woman who had a 32-year history of systemic lupus erythematosus underwent posterior decompression and spinal fusion for degenerative scoliosis. She was supported on a Hall frame during the operation. Three hours after surgery, paralysis and sensory impairment of the left leg and cyanosis of the toes of the left foot were noted. The popliteal, dorsalis pedis, and posterior tibial pulses were not palpable. Angiography showed complete occlusion of the external iliac artery, and emergency removal of the thrombus was performed. RESULTS: One year later, neurologic symptoms were absent, and the leg vessels were normal. CONCLUSIONS: Prolonged direct pressure on the inguinal region during posterior spinal surgery on a Hall frame may cause external iliac artery occlusion. Early recognition and adequate treatment can prevent serious sequelae. |
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Authors:
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S Akagi; Y Yoshida; I Kato; K Sasai; T Saito; A Imamura; R Ogawa |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Spine Volume: 24 ISSN: 0362-2436 ISO Abbreviation: Spine Publication Date: 1999 Apr |
Date Detail:
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Created Date: 1999-06-24 Completed Date: 1999-06-24 Revised Date: 2009-07-09 |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 823-5 Citation Subset: IM |
Affiliation:
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Department of Orthopedic Surgery, Kansai Medical University, Osaka, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography Arterial Occlusive Diseases / etiology*, radiography Female Follow-Up Studies Humans Iliac Artery* Lumbar Vertebrae / surgery* Posture Scoliosis / surgery Spinal Fusion / adverse effects* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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