| ID | 63216 |
| JaLCDOI | |
| FullText URL | |
| Author |
Omi, Hirotsugu
Omi Orthopaedic Clinic
Tomita, Takashi
Department of Orthopaedic Surgery, Aomori Prefectural Central Hospital
Ichinohe, Masayuki
Department of Orthopaedic Surgery, Aomori Prefectural Central Hospital
Harada, Yoshifumi
Department of Orthopaedic Surgery, Aomori Prefectural Central Hospital
Sato, Hideki
Department of Orthopaedic Surgery, Aomori Prefectural Central Hospital
Ito, Junji
Department of Orthopaedic Surgery, Aomori Prefectural Central Hospital
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| Abstract | A 75-year-old woman underwent L4-L5 lateral interbody fusion for L4-5 foraminal stenosis with the use of percutaneous pedicle screws. On the day after the surgery, she was in shock. Emergency contrast-enhanced CT showed active extravasation from the 4th lumbar artery with a transverse process fracture. A radiologist performed a successful transarterial embolization, and the patient then began walking training on the 4th day post-surgery. Close attention should be paid to the insertion of a percutaneous pedicle screw, as it may cause a lumbar artery injury; in such a case, transarterial embolization is the preferred treatment.
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| Keywords | lumbar artery injury
percutaneous pedicle screw
transverse process fracture
hematoma
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| Amo Type | Case Report
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| Publication Title |
Acta Medica Okayama
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| Published Date | 2022-02
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| Volume | volume76
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| Issue | issue1
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| Publisher | Okayama University Medical School
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| Start Page | 85
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| End Page | 88
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| ISSN | 0386-300X
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| NCID | AA00508441
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| Content Type |
Journal Article
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| language |
English
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| Copyright Holders | Copyright Ⓒ 2022 by Okayama University Medical School
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| File Version | publisher
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| Refereed |
True
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| PubMed ID | |
| Web of Science KeyUT |
