Acute Arterial Iliac-Femoral Thrombosis During Doble Lumbar Approach for Degenerative Spondylolisthesis

Abstract

Vascular complications during anterior lumbar approach are well known, however arterial thrombosis is extremely rare. We report a case of an acute left external iliac artery and common femoral artery thrombosis during a doble lumbar approach. The diagnosis was made in the immediate postoperative period and a iliofemoral thromboendarterectomy was performed by a cardiovascular surgeon. The patient developed a left leg compartment syndrome due to a reperfusion injury which was treated in the same surgical stage through a wide fasciotomy.