Document Detail

Vascular and visceral injuries associated with lumbar disc surgery: medicolegal implications.
MedLine Citation:
PMID:  9537654     Owner:  NLM     Status:  MEDLINE    
Symptomatic perforation of the anterior annulus fibrosus/anterior longitudinal ligament during surgery for herniated lumbar disc disease is one of the more solemn and sobering complications experienced by neurosurgeons or orthopedic surgeons. This complication frequently results in the death of the patient. Its occurrence is probably more common than the medical community would expect. The authors report 21 cases since 1985 in which an injury to an intra-abdominal vessel or viscera occurred. In all cases litigation resulted and a settlement or verdict was rendered. A review of the literature is presented and the medicolegal implications of symptomatic ventral perforations of the annulus fibrosus/anterior longitudinal ligament are discussed.
R Goodkin; L L Laska
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Surgical neurology     Volume:  49     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-04-14     Completed Date:  1998-04-14     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  358-70; discussion 370-2     Citation Subset:  IM    
Department of Neurological Surgery, University of Washington School of Medicine and VA Puget Sound Health Care System, Seattle 98195, USA.
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MeSH Terms
Blood Vessels / injuries*
Diskectomy / adverse effects*,  methods,  mortality*
Fatal Outcome
Intervertebral Disk Displacement / surgery*
Laminectomy / adverse effects*,  methods,  mortality*
Longitudinal Ligaments / injuries*
Lumbar Vertebrae / surgery*
Middle Aged
Viscera / injuries*
Comment In:
Surg Neurol. 1999 Feb;51(2):230   [PMID:  10029434 ]

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

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