{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T04:46:00Z","timestamp":1762145160063},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:p>Anterior dislodgement of the transforaminal lumbar interbody fusion (TLIF) cage is one of the severe complications seen in this procedure, which may cause an intraoperative major vessel injury. The objective of this report is to present a rare case of inferior vena cava (IVC) injury during revision surgery for removal of the anteriorly migrated cage.<\/jats:p>\n<jats:p>The authors describe a case of 74-year-old woman with lumbar spinal canal stenosis and degenerative scoliosis. During the TLIF surgery, an inserted titanium cage at the L4\u20135 level dislodged anteriorly to the retroperitoneal space without massive bleeding from the disc space. In the second surgery, which was performed via an anterior retroperitoneal approach to remove the migrated cage, massive torrential bleeding occurred because of IVC injury. The laceration in the posterior wall of the IVC necessitated ligation of this vessel and both common iliac veins by a vascular surgeon. Postoperative edema of the lower extremities after ligation of the vessels was well tolerated, and the patient showed almost full recovery.<\/jats:p>\n<jats:p>For removal surgery of an anteriorly migrated cage, the surgeon should be well prepared for the risk of IVC injury, including requesting the attendance of a vascular surgeon. Ligation of the infrarenal IVC is an acceptable solution in irreparable IVC injury.<\/jats:p>","DOI":"10.3171\/2015.6.spine1544","type":"journal-article","created":{"date-parts":[[2015,12,4]],"date-time":"2015-12-04T15:04:12Z","timestamp":1449241452000},"page":"409-412","source":"Crossref","is-referenced-by-count":10,"title":["Inferior vena cava injury caused by an anteriorly migrated cage resulting in ligation: case report"],"prefix":"10.3171","volume":"24","author":[{"given":"Dai","family":"Ariyoshi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeo","family":"Sano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naohiro","family":"Kawamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine1544","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2227","DOI":"10.1097\/00007632-199311000-00014","article-title":"Vascular injury in anterior lumbar surgery","volume":"18","author":"Baker","year":"1993"},{"key":"b2-spine1544","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1016\/j.spinee.2003.12.003","article-title":"Vascular injury during anterior lumbar surgery","volume":"4","author":"Brau","year":"2004"},{"key":"b3-spine1544","series-title":"Surgery","first-page":"24","article-title":"Ligation of the inferior vena cava for thromboembolism","volume":"43","author":"Dale","year":"1958"},{"key":"b4-spine1544","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2751","DOI":"10.1097\/BRS.0b013e31815a996e","article-title":"Major vascular injury during anterior lumbar spinal surgery: incidence, risk factors, and management","volume":"32","author":"Fantini","year":"2007"},{"key":"b5-spine1544","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E663","DOI":"10.1097\/BRS.0b013e3181d5fee3","article-title":"Major vessel injury with cage migration: surgical complication in a case of spondylodiscitis","volume":"35","author":"Pawar","year":"2010"},{"key":"b6-spine1544","series-title":"Acta Anaesthesiol Taiwan","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/S1875-4597(09)60054-0","article-title":"Iatrogenic left internal iliac artery perforation during lumbar discectomy","volume":"47","author":"Shih","year":"2009"},{"key":"b7-spine1544","series-title":"Am J Surg","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1016\/j.amjsurg.2009.05.013","article-title":"Outcome of ligation of the inferior vena cava in the modern era","volume":"199","author":"Sullivan","year":"2010"},{"key":"b8-spine1544","series-title":"J Trauma","first-page":"E179","article-title":"Suprarenal inferior vena cava ligation: a rare survivor","volume":"67","author":"Votanopoulos","year":"2009"},{"key":"b9-spine1544","series-title":"Acta Anaesthesiol Sin","first-page":"89","article-title":"Inferior vena cava tear during posterior spinal fusion surgery","volume":"41","author":"Wang","year":"2003"},{"key":"b10-spine1544","series-title":"J Iowa State Med Soc","first-page":"552","article-title":"Inferior vena cava ligation","volume":"50","author":"Zoeckler","year":"1960"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/24\/3\/article-p409.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/24\/3\/article-p409.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/24\/3\/article-p409.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T21:52:50Z","timestamp":1681595570000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/24\/3\/article-p409.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3]]},"references-count":10,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/2015.6.spine1544","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2016,3]]}}}