Management of Lumbar Artery Injury Related to Pedicle Screw Insertion

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

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Management of Lumbar Artery Injury Related to Pedicle Screw Insertion

机译：与椎弓根螺钉插入相关的腰动脉损伤的处理

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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.

机译：我们报告2例患者的椎弓根螺钉错位相关的腰动脉之一受伤。在该报告中，在腰椎椎弓根螺钉孔是横向制造的，从而导致对腰动脉的伤害。手术期间，通过压力和纱布控制动脉出血;然而，患者在手术后经历了严重的休克。随后发生严重休克，并通过导管栓塞将其救出。如果接受腰部器械手术的患者术后严重贫血或严重休克，则外科医生应将腰动脉损伤作为鉴别诊断。

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《Acta medica Okayama》 |2013年第2期|共页
作者
Yoshihisa Sugimoto; Masato Tanaka; Hideo Gobara; Haruo Misawa; Toshiyuki Kunisada; Toshifumi Ozaki;
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1. Nerve injury to the posterior rami medial branch during the insertion of pedicle screws: comparison of mini-open versus percutaneous pedicle screw insertion techniques. [J] . Regev GJ, Lee YP, Taylor WR, Spine . 2009,第11期

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Management of Lumbar Artery Injury Related to Pedicle Screw Insertion

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