Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report

Pan Jiazhao; Sun Hong; Zhao Xingwang; Chen Dong; Chen Boxian; Yang Hua

doi:doi:

| Peer-Reviewed

Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report

Pan Jiazhao, Sun Hong, Zhao Xingwang, Chen Dong, Chen Boxian, Yang Hua

Published in Asia-Pacific Journal of Medicine (Volume 2, Issue 1)

Received: 11 January 2019 Accepted: 29 March 2019 Published: 8 May 2019

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Iatrogenic vascular injury is one of the rare complications of posterior lumbar interbody fusion (PLIF). However, it is extremely unusual to cause lumbar artery injury during surgery. If the diagnosis and treatment are not timely, the patient may lose a lot of blood. The present report described a female patient, 66 years old, who underwent PLIF because of lumbar spinal stenosis. The L3, L4, L5 vertebral bodies were implanted with 6 pedicle screws and two titanium rods. Massive blood loss was occurred during operation, and the lumbar artery injury between the left L4-5 was found after angiography. After the patient was treated with interventional embolization, the blood loss was successfully controlled and the incision was healed and discharged. Therefore, in the case of uncontrolled bleeding of lumbar artery injury during lumbar internal fixation operation, interventional vascular embolization is still an effective treatment at present.

Published in	Asia-Pacific Journal of Medicine (Volume 2, Issue 1)
Page(s)	5-8
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Lumbar Spinal Stenosis, Posterior Lumbar Interbody Fusion, Lumbar Artery Injury

References

[1]	Mobbs R J, Phan K, Daly D, et al. Approach-Related Complications of Anterior Lumbar Interbody Fusion: Results of a Combined Spine and Vascular Surgical Team [J]. Global Spine Journal, 2016; 06(02): 147-154.
[2]	Liu Y. Analysis of vascular injury in lumbar spine surgery [J]. Pak J Med Sci 2012;28(5):791-794.
[3]	Riedemann-Wistuba M, Alonso-Pérez, M, Llaneza-Coto J M. Vascular complications associated with lumbar spinal surgery[J]. Revista Española de Cirugía Ortopédicay Traumatología (English Edition), 2016, 60(2):148-152.
[4]	Karaikovic EE, Rattner Z, Bilimoria MM, et al. Coil embolization of a lumbar artery to control vascular injury during intradiscal surgery [J]. Spine (Phila Pa 1976), 2010. 35(5): E163-6.
[5]	Sinauridze E I, Gorbatenko A S, Seregina E A, et al. Moderate plasma dilution using artificial plasma expanders shifts the haemostatic balance to hypercoagulation [J]. Scientific Reports, 2017, 7(1):843.
[6]	Hardy JF, De Moerloose P, Samama M. Massive transfusion and coagulopathy: pathophysiology and implications for clinical management. [J]. Can J Anaesth, 2006, 51(4):293-310.
[7]	Ho WK, Baccala M, Thom J, et al. High prevalence of abnormal preoperative coagulation tests in patients with adolescent idiopathic scoliosis [J]. J Thromb Haemost, 2005. 3(5): 1094-1095.
[8]	Masaya Ueno, Motoki Sonohata, Norio Fukumori, et al. Comparison between topical and intravenous administration of tranexamic acid in primary total hip arthroplasty[J]. Journal of Orthopaedic Science, 2016, 21(1):44-47.
[9]	Paneni F, Beckman JA, Creager MA, et al. Diabetes and vascular disease: pathophysiology, clinical consequences, and medical therapy: part I[J]. Eur Heart J, 2013. 34(31): 2436-2443.
[10]	Arnal JF, Laurell H, Fontaine C, et al. Estrogen receptor actions on vascular biology and inflammation: implications in vascular pathophysiology [J]. Climacteric, 2009. 12 Suppl 1:12-17.
[11]	Sugimoto Y, Tanaka M, Gobara H, et al. Management of lumbar artery injury related to pedicle screw insertion[J]. Acta Med Okayama, 2013. 67(2): 113-116.
[12]	Domenicucci M, Ramieri A, Lenzi J, et al. Pseudo-aneurysm of a lumbar artery after flexion-distraction injury of the thoraco-lumbar spine and surgical realignment: rupture treated by endovascular embolization [J]. Spine (Phila Pa 1976), 2008. 33(3): E81-E84.
[13]	Caglar S, Dolgun H, Ugur HC, et al. Extraforaminal lumbar arterial anatomy [J]. Surg Neurol, 2004. 61(1): 29-33.
[14]	Inamasu J, Guiot B H. Vascular injury and complication in neurosurgical spine surgery [J]. Acta Neurochirurgica, 2006, 148(4):375-387.

Cite This Article

Plain Text BibTeX RIS

APA Style

Pan Jiazhao, Sun Hong, Zhao Xingwang, Chen Dong, Chen Boxian, et al. (2019). Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report. Asia-Pacific Journal of Medicine, 2(1), 5-8.

Copy | Download

ACS Style

Pan Jiazhao; Sun Hong; Zhao Xingwang; Chen Dong; Chen Boxian, et al. Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report. Asia-Pac. J. Med. 2019, 2(1), 5-8.

Copy | Download

AMA Style

Pan Jiazhao, Sun Hong, Zhao Xingwang, Chen Dong, Chen Boxian, et al. Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report. Asia-Pac J Med. 2019;2(1):5-8.

Copy | Download

@article{10036810,
  author = {Pan Jiazhao and Sun Hong and Zhao Xingwang and Chen Dong and Chen Boxian and Yang Hua},
  title = {Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report},
  journal = {Asia-Pacific Journal of Medicine},
  volume = {2},
  number = {1},
  pages = {5-8},
  url = {https://www.sciencepublishinggroup.com/article/10036810},
  abstract = {Iatrogenic vascular injury is one of the rare complications of posterior lumbar interbody fusion (PLIF). However, it is extremely unusual to cause lumbar artery injury during surgery. If the diagnosis and treatment are not timely, the patient may lose a lot of blood. The present report described a female patient, 66 years old, who underwent PLIF because of lumbar spinal stenosis. The L3, L4, L5 vertebral bodies were implanted with 6 pedicle screws and two titanium rods. Massive blood loss was occurred during operation, and the lumbar artery injury between the left L4-5 was found after angiography. After the patient was treated with interventional embolization, the blood loss was successfully controlled and the incision was healed and discharged. Therefore, in the case of uncontrolled bleeding of lumbar artery injury during lumbar internal fixation operation, interventional vascular embolization is still an effective treatment at present.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report
AU  - Pan Jiazhao
AU  - Sun Hong
AU  - Zhao Xingwang
AU  - Chen Dong
AU  - Chen Boxian
AU  - Yang Hua
Y1  - 2019/05/08
PY  - 2019
T2  - Asia-Pacific Journal of Medicine
JF  - Asia-Pacific Journal of Medicine
JO  - Asia-Pacific Journal of Medicine
SP  - 5
EP  - 8
PB  - Science Publishing Group
UR  - http://www.sciencepg.com/article/10036810
AB  - Iatrogenic vascular injury is one of the rare complications of posterior lumbar interbody fusion (PLIF). However, it is extremely unusual to cause lumbar artery injury during surgery. If the diagnosis and treatment are not timely, the patient may lose a lot of blood. The present report described a female patient, 66 years old, who underwent PLIF because of lumbar spinal stenosis. The L3, L4, L5 vertebral bodies were implanted with 6 pedicle screws and two titanium rods. Massive blood loss was occurred during operation, and the lumbar artery injury between the left L4-5 was found after angiography. After the patient was treated with interventional embolization, the blood loss was successfully controlled and the incision was healed and discharged. Therefore, in the case of uncontrolled bleeding of lumbar artery injury during lumbar internal fixation operation, interventional vascular embolization is still an effective treatment at present.
VL  - 2
IS  - 1
ER  -

Copy | Download

Author Information

Pan Jiazhao

Department of Orthopedics, Affiliated Hospital of Guizhou Medical University, Guiyang, China
Sun Hong

Department of Orthopedics, Affiliated Hospital of Guizhou Medical University, Guiyang, China
Zhao Xingwang

Department of Orthopedics, Renhuai People's Hospital, Zunyi, China
Chen Dong

Department of Orthopedics, Guangan People's Hospital, Guangan, China
Chen Boxian

Department of Orthopedics, Affiliated Hospital of Guizhou Medical University, Guiyang, China
Yang Hua

Department of Orthopedics, Affiliated Hospital of Guizhou Medical University, Guiyang, China

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Pan Jiazhao, Sun Hong, Zhao Xingwang, Chen Dong, Chen Boxian, et al. (2019). Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report. Asia-Pacific Journal of Medicine, 2(1), 5-8.

Copy | Download

ACS Style

Pan Jiazhao; Sun Hong; Zhao Xingwang; Chen Dong; Chen Boxian, et al. Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report. Asia-Pac. J. Med. 2019, 2(1), 5-8.

Copy | Download

AMA Style

Pan Jiazhao, Sun Hong, Zhao Xingwang, Chen Dong, Chen Boxian, et al. Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report. Asia-Pac J Med. 2019;2(1):5-8.

Copy | Download

@article{10036810,
  author = {Pan Jiazhao and Sun Hong and Zhao Xingwang and Chen Dong and Chen Boxian and Yang Hua},
  title = {Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report},
  journal = {Asia-Pacific Journal of Medicine},
  volume = {2},
  number = {1},
  pages = {5-8},
  url = {https://www.sciencepublishinggroup.com/article/10036810},
  abstract = {Iatrogenic vascular injury is one of the rare complications of posterior lumbar interbody fusion (PLIF). However, it is extremely unusual to cause lumbar artery injury during surgery. If the diagnosis and treatment are not timely, the patient may lose a lot of blood. The present report described a female patient, 66 years old, who underwent PLIF because of lumbar spinal stenosis. The L3, L4, L5 vertebral bodies were implanted with 6 pedicle screws and two titanium rods. Massive blood loss was occurred during operation, and the lumbar artery injury between the left L4-5 was found after angiography. After the patient was treated with interventional embolization, the blood loss was successfully controlled and the incision was healed and discharged. Therefore, in the case of uncontrolled bleeding of lumbar artery injury during lumbar internal fixation operation, interventional vascular embolization is still an effective treatment at present.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Lumbar Artery Caused Massive Blood Loss During Posterior Lumbar Interbody Fusion: A Case Report
AU  - Pan Jiazhao
AU  - Sun Hong
AU  - Zhao Xingwang
AU  - Chen Dong
AU  - Chen Boxian
AU  - Yang Hua
Y1  - 2019/05/08
PY  - 2019
T2  - Asia-Pacific Journal of Medicine
JF  - Asia-Pacific Journal of Medicine
JO  - Asia-Pacific Journal of Medicine
SP  - 5
EP  - 8
PB  - Science Publishing Group
UR  - http://www.sciencepg.com/article/10036810
AB  - Iatrogenic vascular injury is one of the rare complications of posterior lumbar interbody fusion (PLIF). However, it is extremely unusual to cause lumbar artery injury during surgery. If the diagnosis and treatment are not timely, the patient may lose a lot of blood. The present report described a female patient, 66 years old, who underwent PLIF because of lumbar spinal stenosis. The L3, L4, L5 vertebral bodies were implanted with 6 pedicle screws and two titanium rods. Massive blood loss was occurred during operation, and the lumbar artery injury between the left L4-5 was found after angiography. After the patient was treated with interventional embolization, the blood loss was successfully controlled and the incision was healed and discharged. Therefore, in the case of uncontrolled bleeding of lumbar artery injury during lumbar internal fixation operation, interventional vascular embolization is still an effective treatment at present.
VL  - 2
IS  - 1
ER  -

Copy | Download