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http://dx.doi.org/10.3340/jkns.2013.54.4.344

Delayed Retroperitoneal Hemorrhage due to Lumbar Artery Pseudoaneurysm after Lumbar Posterolateral Fusion  

Oh, Young Min (Department of Neurosurgery, Research Institute of Clinical Medicine of Chonbuk National University Biomedical Research Institute of Chonbuk National University Hospital)
Choi, Ha Young (Department of Neurosurgery, Research Institute of Clinical Medicine of Chonbuk National University Biomedical Research Institute of Chonbuk National University Hospital)
Eun, Jong Pil (Department of Neurosurgery, Research Institute of Clinical Medicine of Chonbuk National University Biomedical Research Institute of Chonbuk National University Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.54, no.4, 2013 , pp. 344-346 More about this Journal
Abstract
A 55-year-old female patient presented with lower back pain and neurogenic intermittent claudication and underwent L3-L4 posterolateral fusion. To prepare the bone fusion bed, the transverse process of L3 and L4 was decorticated with a drill. On the 9th post-operative day, the patient complained of a sudden onset of severe abdominal pain and distension. Abdominal computed tomography revealed retroperitoneal hematoma in the right psoas muscle and iatrogenic right L3 transverse process fracture. Lumbar spinal angiography showed the delayed hematoma due to rupture of the 2nd lumbar artery pseudoaneurysm and coil embolization was done at the ruptured lumbar artery pseudoaneusyrm. Since then, the patient's postoperative progress proceeded normally with recovery of the hemodynamic parameters.
Keywords
Lumbar artery; Spinal fusion; Posterolateral fusion;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Lee WJ, Eun JP, Choi HY, Lee JC : Retroperitoneal hematoma secondary to terminal branch of segmental artery injury during intertransverse discectomy through paramedian muscle splitting approach. J Korean Neurosurg Soc 36 : 246-248, 2004
2 Chan KT, Korivi N : Lumbar artery pseudoaneurysm in traumatic spinal cord injury : a case report. Arch Phys Med Rehabil 84 : 455-457, 2003   DOI
3 Domenicucci M, Ramieri A, Lenzi J, Fontana E, Martini S : Pseudo-an-eurysm of a lumbar artery after flexion-distraction injury of the thoraco-lumbar spine and surgical realignment : rupture treated by endovascular embolization. Spine (Phila Pa 1976) 33 : E81-E84, 2008   DOI
4 Hamid RS, ul HT, Chishti I, Azeemuddin M : Post traumatic avulsion of lumbar artery : a rare cause of retroperitoneal haemorrhage treated by glue embolization. J Pak Med Assoc 60 : 487-489, 2010
5 Lee JS, Kim CW, Suh KT : Lumbar artery injury combined with a transverse process fracture of the lumbar spine presenting with hypovolemic shock after a fall : a case report. J Korean Orthop Assoc 43 : 400-403, 2008   DOI
6 Lee KH, Park JH, Chung JW, Han JK, Shin SJ, Kang HS : Vascular complications in lumbar spinal surgery : percutaneous endovascular treatment. Cardiovasc Intervent Radiol 23 : 65-69, 2000   DOI
7 Nijenhuis RJ, Sluzewski M, van Rooij WJ : Iatrogenic lumbar pseudoaneurysm causing dural sac compression after spine surgery. J Neurosurg 2013Spine 10 : 585-586, 2009   DOI
8 Papadoulas S, Konstantinou D, Kourea HP, Kritikos N, Haftouras N, Tsolakis JA : Vascular injury complicating lumbar disc surgery. A systematic review. Eur J Vasc Endovasc Surg 24 : 189-195, 2002   DOI
9 Santillan A, Patsalides A, Gobin YP : Endovascular embolization of iatrogenic lumbar artery pseudoaneurysm following extreme lateral interbody fusion (XLIF). Vasc Endovascular Surg 44 : 601-603, 2010   DOI
10 Sclafani SJ, Florence LO, Phillips TF, Scalea TM, Glanz S, Goldstein AS, et al. : Lumbar arterial injury : radiologic diagnosis and management. Radiology 165 : 709-714, 1987   DOI
11 Siablis D, Panagopoulos C, Karamessini M, Karnabatidis D, Margariti S, Tepetes K, et al. : Delayed diagnosis of a false aneurysm after lumbar arterial injury : treatment with endovascular embolization : a case report. Spine (Phila Pa 1976) 28 : E71-E73, 2003
12 Watkins MB : Posterolateral fusion of the lumbar and lumbosacral spine. J Bone Joint Surg Am 35-A : 1014-1018, 1953