Abstract
Major vascular injury during lumbar laminectomy is an extremely rare complication of one of the commonest surgical procedures performed in orthopaedic and neurosurgical units. Its occurrence may be associated with high morbidity and mortality, particularly if it is not diagnosed in the early stages. Early diagnosis and repair is associated with an improved prognosis in the long term. We illustrate these points with a description of two cases, and discuss the anatomical factors predisposing to these injuries and the importance of angiography in the management and early diagnosis of suspected cases.
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Selected References
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- Birkeland I. W., Taylor T. K. Major vascular injuries in lumbar disc surgery. J Bone Joint Surg Br. 1969 Feb 1;51(1):4–19. [PubMed] [Google Scholar]
- Salander J. M., Youkey J. R., Rich N. M., Olson D. W., Clagett G. P. Vascular injury related to lumbar disk surgery. J Trauma. 1984 Jul;24(7):628–631. doi: 10.1097/00005373-198407000-00015. [DOI] [PubMed] [Google Scholar]
- Stolke D., Sollmann W. P., Seifert V. Intra- and postoperative complications in lumbar disc surgery. Spine (Phila Pa 1976) 1989 Jan;14(1):56–59. doi: 10.1097/00007632-198901000-00011. [DOI] [PubMed] [Google Scholar]
- Vaughan P. A., Malcolm B. W., Maistrelli G. L. Results of L4-L5 disc excision alone versus disc excision and fusion. Spine (Phila Pa 1976) 1988 Jun;13(6):690–695. [PubMed] [Google Scholar]
- Weber H. Lumbar disc herniation. A controlled, prospective study with ten years of observation. Spine (Phila Pa 1976) 1983 Mar;8(2):131–140. [PubMed] [Google Scholar]