Perforation of the anterior annulus during lumbar discectomy. Case report.

@article{Shevlin1973PerforationOT,
  title={Perforation of the anterior annulus during lumbar discectomy. Case report.},
  author={W A Shevlin and Alfred J. Luessenhop and J. L. Fox and David C. Mccullough},
  journal={Journal of neurosurgery},
  year={1973},
  volume={38 4},
  pages={
          514-5
        }
}
✓ A case of retroperitoneal vascular injury during removal of a lumbar intervertebral disc is presented. It is proposed that the rapid escape of irrigating saline through the disc space may serve as a reliable sign of surgical perforation of the anterior annulus and anterior longitudinal ligament prior to the appearance of other signs of vascular injury. 
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Vascular and visceral injuries associated with lumbar disc surgery: medicolegal implications.
Iatrogenic vascular injury during to lumbar disc surgery
TLDR
From the analysis, it is emphasised that rapid diagnosis and immediate intervention can result in a favourable outcome, as in patients, who sustained vascular injury while undergoing intervertebral disc surgery at the lumbar four and five level.
Bowel injury as a complication of microdiscectomy: case report and literature review.
TLDR
A case of intestinal perforation after microscopic lumbar discectomy is reported and the diagnostic postoperative imaging is presented and techniques that may be employed to avoid this complication are discussed.
Injury to major abdominal vessels during posterior lumbar interbody fusion. A case report and review of the literature.
Vascular injury complicating lumbar disc surgery. A systematic review.
TLDR
iatrogenic vascular injury during lumbar disc surgery, although rare, should be suspected if signs of circulatory instability are noted or if lumbr pain, leg oedema or high output cardiac failure develop months to years following such surgical procedures.
Lateral lumbar spine roentgenograms: potential role in complications of lumbar disc surgery.
Iconography : Les complications vasculaires de la chirurgie discale lombaire
Abdominal Vascular Injury During Lumbar Discectomy, Three Cases and Review of Literature.
TLDR
Vascular injury during a disc surgery is difficult to diagnose due to the rarity of occurrence and subtle signs which need to be recognized and thence allow for early management.
Aberrant iliac artery: far lateral lumbosacral surgical anatomy.
TLDR
Close magnetic resonance imaging revealed an aberrant iliac artery impinging on the lumbar plexus and a foraminal herniation at L4-L5 on the right, an orientation more lateral than expected or seen on the contralateral side.
The summary of experience of abdominal vascular injury related to posterior lumbar surgery
TLDR
Different treatment choices should be conducted depending on different injury characteristics and patients’ condition, when a vascular injury is suspected, ultrasonography and positive abdominal exploration are recommended together with unified leadership in the rescue team.
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References

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Vascular and visceral injuries during lumbar-disc surgery.
  • E. Holscher
  • Medicine
    The Journal of bone and joint surgery. American volume
  • 1968
Surgical experience in this country over the last few decades indicates that abdominal injuries caused accidentally by the perforation of the interbody joints by instruments during the removal of…
Arteriovenous Fistula and Isolated Vascular Injuries Secondary to Intervertebral Disk Surgery: * Report of Four Cases and Review of the Literature
Vascular injury coincident to disc surgery.