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Thrombotic Occlusion of the Left Common Iliac Artery After an Anterior Retroperitoneal Approach to the Lumbar Spine

Marsicano, Joseph, MD; Mirovsky, Yigal, MD; Remer, Stuart, MD; Bloom, Norman, MD; Neuwirth, Michael, MD

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Thrombotic occlusion of the left common iliac artery occurred in a 59-year-old man after an anterior and posterior spinal fusion. Preoperatively, the patient was known to have peripheral vascular disease. Symptoms of an L4–5 radiculopathy were noted postoperatively. After an iliac-iliac bypass, the symptoms completely resolved. Retraction of the vessels during the anterior retroperitoneal approach was the presumed cause. To the authors' knowledge, this is the first report of a thrombotic occlusion developing in a patient after an anterior retroperitoneal approach to the lumbar spine. It is their hope that through an increased awareness similar complication will be prevented.

Department of Orthopaedic Surgery, Hospital for Joint Diseases/Orthopaedic Institute, New York, New York.

© Lippincott-Raven Publishers.