INCIDENCE OF VASCULAR INJURY IN THE SURGERY OF LUMBER SPINE

Objective: The aim of this study is to interrogate the occurrence of the vascular injury in the operation of lumbar spine and find out the method for detection and therapy of this complication. Methodology: Total one thousand one hundred and eleven patients retroactively in Capital Development Hospital Islamabad who got treatment with the surgery of lumbar spine from October 2012 to December 2018. The initially measured outcomes consisted complications of the intra-operative vascular, loss of blood during surgery & mortality during surgery. Results: The prevalence of this injury is very high in the frontal exposure (9.10%) as compared to the latter exposure (0.290%) & the involvement of segment of L 4-5 was present in 84.40% vascular injuries. Total 19 patients faced the VI in2 level & Multi-level exposure & twenty-six suffered vascular injuries in 1 level exposure. There was no significant disparity among the patients of both groups. Only one death occurred and all other patients were available with satisfactory results. Conclusion: There is high prevalence of VI in segment of L4-5 particularly during the application of the anterior exposure & it is the responsibility of the spine specialists to give more consideration to this complication which can lead to the death.