Management of lumbar artery injury related to pedicle screw insertion

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

Research output: Contribution to journalArticle

5 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

Fingerprint

Surgery
Shock
Arteries
Wounds and Injuries
Catheters
Anemia
Differential Diagnosis
Hemorrhage
Pressure
Pedicle Screws
Surgeons

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Management of lumbar artery injury related to pedicle screw insertion. / Sugimoto, Yoshihisa; Tanaka, Masato; Gobara, Hideo; Misawa, Haruo; Kunisada, Toshiyuki; Ozaki, Toshihumi.

In: Acta Medica Okayama, Vol. 67, No. 2, 2013, p. 113-116.

Research output: Contribution to journalArticle

@article{ec3f8d0983874018b69277a1bbde6bc9,
title = "Management of lumbar artery injury related to pedicle screw insertion",
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.",
keywords = "Catheter embolization, Complication, Lumbar artery injury, Pedicle screw",
author = "Yoshihisa Sugimoto and Masato Tanaka and Hideo Gobara and Haruo Misawa and Toshiyuki Kunisada and Toshihumi Ozaki",
year = "2013",
language = "English",
volume = "67",
pages = "113--116",
journal = "Acta Medica Okayama",
issn = "0386-300X",
publisher = "Okayama University",
number = "2",

}

TY - JOUR

T1 - Management of lumbar artery injury related to pedicle screw insertion

AU - Sugimoto, Yoshihisa

AU - Tanaka, Masato

AU - Gobara, Hideo

AU - Misawa, Haruo

AU - Kunisada, Toshiyuki

AU - Ozaki, Toshihumi

PY - 2013

Y1 - 2013

N2 - 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.

AB - 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.

KW - Catheter embolization

KW - Complication

KW - Lumbar artery injury

KW - Pedicle screw

UR - http://www.scopus.com/inward/record.url?scp=84878638691&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878638691&partnerID=8YFLogxK

M3 - Article

C2 - 23603928

AN - SCOPUS:84878638691

VL - 67

SP - 113

EP - 116

JO - Acta Medica Okayama

JF - Acta Medica Okayama

SN - 0386-300X

IS - 2

ER -