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Presentation and management of IVC and iliac vein encroachment by lumbar pedicle screws: a case-report
| Content Provider | Oxford Academic |
|---|---|
| Author | George, Keith Burke, Shane Park, Sandra Suarez, Luis Riesenburger, Ron |
| Copyright Year | 2020 |
| Abstract | Pedicle screws are commonly used in spinal surgeries and are relatively safe, with venous complications occurring rarely. We report a patient with imaging following a L4–5 fusion that showed indentation of the inferior vena cava and right common iliac vein by the right L4 and L5 pedicle screws. She underwent revision surgery in which the hardware was removed and no bleeding was observed. Intraoperative venogram confirmed vascular integrity and absence of indentation on the venous structures following screw removal. The patient recovered without complications. Venous contact by pedicle screws should be treated on a case-by-case basis in a multidisciplinary approach with vascular surgery. We discuss a treatment algorithm for the operative management of this problem. |
| Related Links | https://academic.oup.com/jscr/article-pdf/2020/3/rjaa040/32917195/rjaa040.pdf |
| File Format | |
| e-ISSN | 20428812 |
| DOI | 10.1093/jscr/rjaa040 |
| Journal | Journal of Surgical Case Reports |
| Issue Number | 3 |
| Volume Number | 2020 |
| Language | English |
| Publisher | Oxford Academic |
| Publisher Date | 2020-03-01 |
| Access Restriction | Open |
| Subject Keyword | Medicine and Health Surgery Iliac Vein Inferior Vena Cava Spinal Procedure Spinal Pedicle Screw Case Reports Bone Screws Venography Common Iliac Vein Computers Hemorrhage Intraoperative Care Vascular Surgical Procedures Repeat Surgery Pedicle Screw Spinal Surgery Lumbar Spine Vascular Injury |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
