The Library
The role of the vascular surgeon in anterior lumbar spine surgery
Tools
Tools
Tools
Asha, Mohammed Jamil, Choksey, Munchi S., Shad, Amjad, Roberts, Peter and Imray, C. (Chris) (2012) The role of the vascular surgeon in anterior lumbar spine surgery. British Journal of Neurosurgery, Vol.26 (No.4). pp. 499-503. doi:10.3109/02688697.2012.680629 ISSN 0268-8697.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.3109/02688697.2012.680629
Abstract
Objectives. Advances in spinal fusion techniques have led to an increase in the need for safe access to the lumbar spine anteriorly. The aim of this study is to examine the procedure-related complications of anterior lumbar inter-body fusion (ALIF) or anterior lumbar disc replacement (ALDR) when performed jointly by a vascular-surgeon and a neurosurgeon in a single centre. Methods. A retrospective cohort analysis was conducted for all patients who underwent ALIF or ALDR between 2004 and 2010. Operative notes were examined to identify any procedure-specific complications. In-hospital postoperative complications were recorded. Outpatients’ records were reviewed to record any late-onset postoperative complications. Results. A total of 121 patients (68 female and 53 males) were included. Mean age was 44 years (range of 25–76). Eighty patients (66%) had ALIF while 24 patients (20%) underwent ALDR. The remaining 17 patients (14%) had combined procedure for multilevel disease. In all patients, a transperitoneal approach was performed by vascular surgeon. The main indication (88%) for performing surgery was degenerative lumbar disc disease. No visceral or ‘major vascular’ complications were reported in any patients. Only three patients had ‘minor vascular’ injuries. The only significant postoperative complication was self-limiting paralytic ileus affecting 18 patients (14.8%). Hospital stay ranged from 4 to 9 days (median of 5 days).Conclusions. The anterior lumbar approach is not generally favoured by many neurosurgeons, despite its many advantages, due to the significant risk of vascular injuries as reported in the literature. This risk is especially acknowledged by the emerging generation of neurosurgeons with very little general surgical exposure during the training years. Adopting a combined vascular and neurosurgical approach has been reported to reduce the risk of vascular injury in anterior lumbar surgery acceptably low. This team approach provides an excellent opportunity to preserve some key ‘general’ surgical skills for neurosurgeons and ensure safe outcome for the patients.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
| Journal or Publication Title: | British Journal of Neurosurgery | ||||
| Publisher: | Informa Healthcare | ||||
| ISSN: | 0268-8697 | ||||
| Official Date: | 2012 | ||||
| Dates: |
|
||||
| Volume: | Vol.26 | ||||
| Number: | No.4 | ||||
| Page Range: | pp. 499-503 | ||||
| DOI: | 10.3109/02688697.2012.680629 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
