Document Detail


Occlusion of the left common iliac artery and consecutive thromboembolism of the left popliteal artery following anterior lumbar interbody fusion.
MedLine Citation:
PMID:  11481562     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report on a case of occlusion of the left common iliac artery due to arteriosclerosis and consecutive thrombotic occlusion of the left popliteal artery in a 52-year-old man following anterior retroperitoneal interbody fusion of L4--S1. Initial symptoms included leg pain and numbness of the lateral shank, which were thought to be a result of lumbar nerve root irritation from surgery. Diagnosis was not made until 13 days after surgery, when motor deficits were observed. Angiography showed occlusion of the left common iliac artery and thromboembolism of the left popliteal artery. After thromboendarterectomy of the common iliac artery and thrombectomy of the popliteal artery, motor deficits of the left foot were resolved whereas symptoms of pain and sensory deficits continued. Spine surgeons should be aware of this rare complication in cases of postoperative leg pain or of neurologic deficits in the lower extremity after anterior lumbar interbody fusions.
Authors:
L Hackenberg; U Liljenqvist; H Halm; W Winkelmann
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of spinal disorders     Volume:  14     ISSN:  0895-0385     ISO Abbreviation:  J Spinal Disord     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-08-01     Completed Date:  2001-09-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8904842     Medline TA:  J Spinal Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  365-8     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Westfälische Wilhelms-Universität Münster, Münster, Germany. lars.hackenberg@uni-muenster.de
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Angiography
Arterial Occlusive Diseases / etiology*,  radiography,  surgery
Arteriosclerosis / complications
Humans
Iliac Artery* / radiography,  surgery
Lumbar Vertebrae / radiography,  surgery*
Male
Middle Aged
Popliteal Artery* / radiography,  surgery
Reoperation
Spinal Fusion / adverse effects*
Thromboembolism / etiology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Vertebral osteomyelitis secondary to Pseudallescheria boydii.
Next Document:  Serial changes on quantitative myocardial perfusion SPECT in patients undergoing revascularization o...