VASCULAR INJURY DURING LUMBAR DISKECTOMY ASSOCIATED WITH PERIDISKAL FIBROSIS - CASE-REPORT AND LITERATURE-REVIEW

被引：14

作者：

BOLESTA, MJ

机构：

[1] Department of Orthopaedic Surgery, University of Texas Southwestern Medical School, Dallas, TX

来源：

JOURNAL OF SPINAL DISORDERS | 1995年 / 8卷 / 03期

关键词：

INTERVERTEBRAL-DISK DISPLACEMENT; INTRAOPERATIVE-COMPLICATIONS; ETIOLOGY; LUMBAR VERTEBRAE; SMOOTH MUSCLE; VASCULAR INJURIES; POSTOPERATIVE COMPLICATIONS;

D O I：

10.1097/00002517-199506000-00008

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Dense peridiskal fibrosis was encountered during a lumbar diskectomy for a chronic lumbar disk herniation. Posteriorly the adhesions involved the annulus, dura mater, nerve roots, posterior longitudinal ligament, and sequestrated disk material. Anteriorly the iliac vessels were also densely adherent to the disk. When disk material was removed from a standard posterior approach, the left common iliac vein tore, leading to severe hypotension. Vascular injury by instruments has been described by many clinicians, but this indirect mechanism of injury has not been reported in the literature, nor has extensive peridiskal fibrosis been described in a spine without a history of previous surgery.

引用

页码：224 / 227

页数：4

共 23 条

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