Management of lumbar artery injury related to pedicle screw insertion

Yoshihisa Sugimoto, Masato Tanaka, Hideo Gobara, Haruo Misawa, Toshiyuki Kunisada, Toshifumi Ozaki

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

We report on 2 patients who experienced injury to one of their lumbar arteries related to pedicle screw misplacement. In this report, the lumbar pedicle screw holes were made laterally with resultant injury to the lumbar artery. During surgery, arterial bleeding was controlled with pressure and gauze; however, the patients experienced vital shock after surgery. Vital shock ensued and they were rescued by catheter embolization. If patients receiving lumbar instrumentation surgery experience severe anemia or vital shock postoperatively, the surgeon should assume lumbar artery injury as a differential diagnosis.

Original languageEnglish
Pages (from-to)113-116
Number of pages4
JournalActa medica Okayama
Volume67
Issue number2
Publication statusPublished - 2013

Keywords

  • Catheter embolization
  • Complication
  • Lumbar artery injury
  • Pedicle screw

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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