Postoperative hemorrhage caused by lumbar artery injury in corrective osteotomy for degenerative lumbar scoliosis: case report
10.3760/cma.j.issn.0253-2352.2019.16.007
- VernacularTitle: 腰椎退变性侧凸截骨矫形腰动脉损伤术后出血一例报告
- Author:
Jichen HUANG
1
;
Bangping QIAN
;
Yong QIU
;
Yang YU
Author Information
1. Department of Spine Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing 210008, China
- Publication Type:Case Reports
- From:
Chinese Journal of Orthopaedics
2019;39(16):1020-1023
- CountryChina
- Language:Chinese
-
Abstract:
The present study reported the case of a patient with degenerative lumbar scoliosis who suffered from postoperative hemorrhage due to lumbar artery injury in corrective osteotomy. The patient presented with decline of blood pressure, extremely low hemoglobin, even after blood transfusion and fluid infusion. Digital subtraction angiography showed lumbar artery injury. Successful control of bleeding and gradually stable vital signs were observed after vascular embolisation. Severe and complex spinal deformity, severe osteophytes in the anterior edge of vertebral body, hypertension, and angiosclerosis were the risk factors of large vascular injuries in spinal osteotomy. Lumbar artery injury should be highly suspected when unknown and progressively aggravating abdominal or back pain, abdominal distention, neurological symptoms of lower limbs, decline of blood pressure, increase of heart rate, decrease of hemoglobin level, continuously bloody drainage or incision bleeding occurred. Vascular embolisation was effective and safe in the management of iatrogenic lumbar artery injury.
