Injury to the Superior Gluteal Artery During Minimally Invasive Sacroiliac Joint Fusion

Author:

Laynes Renzo A.1ORCID,Aravindan Shreyaas2ORCID,Wharton Benjamin2,Layne Jonathan E.2ORCID,Kleck Christopher J.1ORCID,Patel Vikas V.1ORCID

Affiliation:

1. Department of Orthopedic Surgery, University of Colorado, Anschutz Medical Campus, Aurora, Colorado

2. University of Colorado, School of Medicine, Anschutz Medical Campus, Aurora, Colorado

Abstract

Case: A rarely reported complication with sacroiliac joint fusion (SJF) is an iatrogenic injury to the superior gluteal artery (SGA). This case series includes 3 cases which had a suspected injury to the SGA. Case 1 describes how hemostasis achieved with exploration of the wound followed by embolization by interventional radiology (IR). In Case 2, electrocautery, hemostatic agents, and pressure were used with success. Case 3 highlights the use of IR as the initial method for controlling bleeding. Conclusion: This report describes a rare complication during SJF and provides an algorithm to help guide surgeons in decision making.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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