{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:08:49Z","timestamp":1791918529963,"version":"4.3.4"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 76-year-old woman underwent L4\u2013L5 posterior lumbar interbody fusion with pedicle screws for lumbar spondylolisthesis. Intraoperative iatrogenic injuries to the right fourth lumbar artery and inferior vena cava occurred, resulting in arteriovenous fistula with extensive retroperitoneal hemorrhage. Endovascular treatment and intraperitoneal drainage were effective in managing retroperitoneal hemorrhage. She showed no sign of organ failure or deep venous thrombosis during her 2-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We recommend embolization both proximally and distally in the case of lumbar artery injury. Intra-abdominal hypertension secondary to a massive retroperitoneal hematoma should also be considered to prevent abdominal compartment syndrome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00477","type":"journal-article","created":{"date-parts":[[2019,9,20]],"date-time":"2019-09-20T05:09:49Z","timestamp":1568956189000},"page":"e0477-e0477","source":"Crossref","is-referenced-by-count":3,"title":["Iatrogenic Arteriovenous Fistula and Retroperitoneal Hemorrhage After Tapping of Lumbar Pedicle Screws"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5652-1919","authenticated-orcid":false,"given":"Takahiro","family":"Makino","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4882-2997","authenticated-orcid":false,"given":"Takashi","family":"Kaito","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7896-7639","authenticated-orcid":false,"given":"Yusuke","family":"Sakai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9956-5914","authenticated-orcid":false,"given":"Shota","family":"Takenaka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7697-8035","authenticated-orcid":false,"given":"Hideki","family":"Yoshikawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"10","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.1111\/j.1742-1241.2007.01494.x","article-title":"Management of spontaneous and iatrogenic retroperitoneal haemorrhage: conservative management, endovascular intervention or open surgery?","volume":"62","author":"Chan","year":"2008","journal-title":"Int J Clin Pract."},{"issue":"9","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1016\/j.injury.2014.01.026","article-title":"The management of retroperitoneal haematoma discovered at laparotomy for trauma","volume":"45","author":"Manzini","year":"2014","journal-title":"Injury."},{"issue":"4","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1007\/s00701-005-0669-1","article-title":"Vascular injury and complication in neurosurgical spine surgery","volume":"148","author":"Inamasu","year":"2006","journal-title":"Acta Neurochir (Wien)."},{"issue":"1","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"e7","DOI":"10.1016\/j.spinee.2012.11.016","article-title":"Injury to major abdominal vessels during posterior lumbar interbody fusion. 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