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dc.contributor.authorKlezl, Zdenek
dc.contributor.authorSwamy, Girish
dc.identifier.citationAsian Spine J. 2014 Feb;8(1):59-63. doi: 10.4184/asj.2014.8.1.59. Epub 2014 Feb 6.language
dc.description.abstractSTUDY DESIGN: Modern biomaterials and instrumentation have popularised surgery of the thoraco-lumbar spine through an anterior route. The advantage of anterior surgery is that it allows for a direct decompression of the compromised spinal canal. However, the potential for devastating long-term sequelae as a result of complications is high. PURPOSE: The aim of this study was to give a general overview and identify the incidence of vascular complications. OVERVIEW OF LITERATURE: There is limited literature describing the overall incidence and complications of anterior spinal surgery. METHODS: A retrospective review of a prospective database of 1,262 consecutive patients with anterior surgery over a twelve-year period. RESULTS: In our study, 1.58% (n=20) of patients suffered complications. Injury to a major vessel was encountered in 14 (1.11%) cases, of which nine involved an injury to the common iliac vein. In six cases, the original procedure was abandoned due to a life-threatening vascular injury (n=3) and unfavourable anatomy (n=3). CONCLUSIONS: The incidence of vascular and other complications in our study was relatively low. Nevertheless, the potential for devastating long-term sequelae as a result of complications remains high. A thorough knowledge and awareness of normal and abnormal anatomy should be gained before attempting such a procedure, and a vascular surgical assistance especially should be readily accessible. We believe use of access surgeons is mandatory in cases with difficult or aberrant anatomy.language
dc.subjectAnterior Thoraco-Lumbar Approachlanguage
dc.subjectVascular Injurylanguage
dc.subjectIliac Veinlanguage
dc.titleIncidence of vascular complications arising from anterior spinal surgery in the thoraco-lumbar spine.language

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