Acta Neurochirurgica

, Volume 25, Issue 1–2, pp 79–97 | Cite as

Retroperitoneale Komplikationen bei Operationen an den lumbalen Bandscheiben

  • Th. Grumme
  • B. Bingas


Bericht über zwei Fälle retroperitonealer, wahrscheinlich venöser Blutungen nach Operation eines lumbalen Bandscheibenprolapses ohne Notwendigkeit eines gefäßchirurgischen Eingriffes. Zusammenfassender Überblick aller dieses Problem betreffenden Fragen auf Grund der bisher mitgeteilten Literaturfälle. Besonderer Hinweis auf die bisher vernachlässigten juristischen Fragen.

Retroperitoneal complications with operations on the lumbar discs


The authors describe two cases of retroperitoneal and apparently venous haemorrages following operation for a prolapsed lumbar intervertebral disc which did not necessitate an operation by a vascular surgeon. There is a review which summarises on the basis of the previously reported cases all the questions which bear on this problem. There is a special reference to the previously neglected medico-legal questions.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Borski, A. A., and R. A. Smith, Ureteral injury in lumbar disc operation. J. Neurosurg.17 (1960), 925–928.Google Scholar
  2. Boyd, D. P., and G. J. Farha, Arteriovenous fistula and isolated vascular injuries secondary to intervertebral disc surgery. Ann. Surg.161 (1965), 524–531.PubMedGoogle Scholar
  3. Bradford, F. K., Diskussionsbemerkung bei De Saussure 1959.Google Scholar
  4. Burchell, H. B., Unusual forms of hearth disease. Circulation10 (1964), 574–759.Google Scholar
  5. Carothers, R. G., zit. nach Shumacker et al..Google Scholar
  6. Cloward, R. G., Anterior herniation of a ruptured lumbar intervertebral disc. Arch. Surg.64 (1952), 457–463.Google Scholar
  7. De Bakey, M. F., D. A. Cooley, G. C. Morris jr., and H. Collins, Arteriovenous fistula involving the abdominal aorta: report of four cases with successfull repair. Ann. Surg.147 (1958), 646–658.PubMedGoogle Scholar
  8. De Saussure R. L., Vascular injury coincident to disc surgery. J. Neurosurg.16 (1959), 222–229.PubMedGoogle Scholar
  9. Desotes, J., Ch. Vieville, E. Chignier et de Peyrethon, Fistule artérioveineuse majeure après cure de hernie discale. Chirurgie96 (1970), 791–795.PubMedGoogle Scholar
  10. Falconer, M. A., M. McGeorge, and A. C. Begg, Surgery of lumbar intervertebral disc protrusion. A study of principles and results based upon one hundred consecutive cases submitted to operation. Brit. J. Surg.35 (1948), 225–249.Google Scholar
  11. Fortune, C., Arteriovenous fistula of left common iliac artery and vein. Med. J. Aust.1 (1956), 660.Google Scholar
  12. Freeman, D. G., Major vascular complications of lumbar disc surgery. West J. Surg.69 (1961), 175–177.PubMedGoogle Scholar
  13. Glass, B. A., and H. C. Ilgenfritz, Arteriovenous fistula secondary to operation for ruptured intervertebral disc. Ann. Surg.140 (1954), 122–127.PubMedGoogle Scholar
  14. Grimson, K. S., zit. nach de Bakey et al. 1958PubMedGoogle Scholar
  15. Gurdjian, E. S., J. E. Webster, A. Z. Ostrowski, W. G. Hardy, D. W. Lindner, and L. M. Thomas, Herniated lumbar intervertebral discs—an analysis of 1176 operated cases. J. Trauma1 (1961), 158–176.PubMedGoogle Scholar
  16. Harbison, S. P., Major vascular complications of intervertebral disc surgery. Ann. Surg.140 (1954), 342–348.PubMedGoogle Scholar
  17. Hardin, C. A., and M. Allen, Arteriovenous fistula; report of case developing after operation for ruptured intervertebral disc and successfull repaired by homograft. J. Kansas Med. Soc.59 (1958), 93.PubMedGoogle Scholar
  18. Hofh, R. P., Arterial injuries during orthopedic operations. Clin. orthop.28 (1963), 21–36.PubMedGoogle Scholar
  19. Holscher, E. C., Vascular complication of disc surgery. J. Bone Joint Surg.30A (1948), 968–970.Google Scholar
  20. —: Vascular and visceral injuries during lumbar-disc surgery. J. Bone Joint Surg.50 (1968), 383–393.PubMedGoogle Scholar
  21. Horton, R. E., Arteriovenous fistula following operation for prolapsed intervertebral disc. Brit. J. Surg.49 (1961), 77–80.PubMedGoogle Scholar
  22. Hufnagel, C. A., B. J. Walsh, and P. W. Conrad, Iliac-caval arteriovenous fistula following operation for herniated disc. Angiology12 (1961), 579–582.PubMedGoogle Scholar
  23. Leavens, M. E., and F. K. Bradford, Ruptured intervertebral disc, report of a case with a defect in the anterior annulus fibrosus. J. Neurosurg.10 (1953), 544–546.PubMedGoogle Scholar
  24. Lie, T. A., and H. L. de Smet, Major vascular injuries following operations for protruded lumbar discs. Psychiat. Neurol. Neurosurg.71 (1968), 71–75.Google Scholar
  25. Lindblom, K., zit. nach Nilsonne and Hakelius 1965.Google Scholar
  26. Linton, R. R., and P. D. White, Arteriovenous fistula between right common iliac artery and inferior vena cava; report of a case of its occurrence following operation for ruptured intervertebral disc with cure by operation. Arch. Surg.50 (1945), 6–13.Google Scholar
  27. Mack, J. R., Major vascular injuries incident to intervertebral disc surgery. Amer. Surg.22 (1956), 752–763.Google Scholar
  28. McKay, H. W., H. H. Baird, and H. R. Justis, Management of ureteral injuries. J. Amer. med. Ass.154 (1954), 202–205.Google Scholar
  29. Mixter, W. J., zit. nach Linton and White 1945.Google Scholar
  30. Nilsonne, U., and A. Hakelius, On vascular injury in lumbar disc surgery. Acta orthop. Scand.35 (1965), 329–337.Google Scholar
  31. Pelletier, L. C., Traumatic arteriovenous fistula following discoidectomy: a case report and a review of literature. Canad. J. Surg.13 (1970), 439–455.PubMedGoogle Scholar
  32. Ribet, M., P. Quandalle, M. Ducloux et G. Debacker, Fistule artérioveineuse ilio-cave après cure chirurgicale d'une hernie discale. Mém. Acad. Chir.92 (1966), 663–667.Google Scholar
  33. Sandoz, I., and C. V. Hodges, Ureteral injury incident to lumbar disc operation. J. Urol.93 (1965), 687–689.PubMedGoogle Scholar
  34. Schneider, P. G., und H. Auberger, Nil nocere! Gefäßverletzungen bei lumbalen Bandscheibenoperationen. Münch. med. Wschr.108 (1966), 1911–1915.Google Scholar
  35. Seeley, S. F., C. W. Hughes, and E. J. Jahnke jr., Major vessels damage in lumbar disc operation. Surgery35 (1954), 421–428.PubMedGoogle Scholar
  36. Semmes, R. E., and F. Murphey, Personal communication. zit. nach De Saussure 1959.PubMedGoogle Scholar
  37. Shumacker, H. B., jr., H. King, and R. Campbell, Vascular complications from disc operations. J. Trauma1 (1961), 177–185.Google Scholar
  38. Sibilly, A., S. Babin et A. Suhler, Plaie de l'artère iliaque primitive gauche au cours de l'ablation d'une hernie discale L 5-S 1. Neurochirurgie, Paris14 (1968), 153–161.Google Scholar
  39. Smith, R. A., and M. N. Estridge, Bowel perforation following lumbardisc surgery. J. Bone Joint Surg.46A (1964), 826–828.PubMedGoogle Scholar
  40. Smith, V. M., C. W. Hughes, O. Sapp, R. J. Joy, and T. W. Mattingly, Highoutput circulatory failure due to arteriovenous fistula; complication of intervertebral-disc surgery. Arch. Int. Med.100 (1957), 833–841.Google Scholar
  41. Solonen, K. A., Arteriovenous fistula as a complication of operation for prolapsed disc. Acta Orthop. Scand.34 (1964), 159–166.PubMedGoogle Scholar
  42. Spittel, J. A., jr., P. J. Palumbo, J. G. Love, and F. H. Ellis, Arteriovenous fistula complicating lumbar-disc-surgery. New England J. med.268 (1963), 1162–1165.Google Scholar
  43. Staple, T. W., and M. J. Friedenberg, Ilio-iliac arteriovenous fistula following intervertebral disc surgery. Clin. Radiol.16 (1965), 248–250.PubMedGoogle Scholar
  44. Steinberg, I., F. Glenn, S. T. Carver, and D. S. Lukas, Angiographic and hemodynamic studies of postlaminectomy iliac arterial inferior vena caval fistula. Amer. J. med.31 (1961), 310–317.Google Scholar
  45. Stokes, J. M., Vascular complications of disc surgery. J. Bone Joint Surg.50 (1968), 394–399.PubMedGoogle Scholar
  46. Sze, K. C., H. K. Tsuji, R. Schobinger, J. Kneisel, and P. Cooper, Arteriovenous fistula between the common iliac vessels. Arch. Surg.80 (1960), 258–261.PubMedGoogle Scholar
  47. Talmadge, S., zit. nach Linton and White (1945).Google Scholar
  48. Taylor, H., Arteriovenous fistula following lumbar disc surgery. Proc. Royal Soc. Med.55 (1962), 450.Google Scholar
  49. — and E. Williams, Arteriovenous fistula following disk surgery. Brit. J. Surg.50 (1962), 47–50.PubMedGoogle Scholar
  50. Walker, A. E., zit. nach Linton and White (1945).Google Scholar
  51. Weber, G., Konservative oder chirurgische Ischiasbehandlung. Praxis39 (1950), 483–490.PubMedGoogle Scholar
  52. —: Über lumbale Diskushernien. Rheumaforsch.9 (1950), 223–255.Google Scholar
  53. Zapata, Vargas, C., R. Abugattas, E. Santa Maria, G. Battilina, and C. Guibovich, Arteriovenous fistula between the common right iliac artery and the inferior vena cava incident to intervertebral disk surgery (report of two cases). J. cardiovascular Surg.5 (1964), 392–400.Google Scholar

Copyright information

© Springer-Verlag 1971

Authors and Affiliations

  • Th. Grumme
    • 1
  • B. Bingas
    • 1
  1. 1.Neurochirurgische Klinik der Freien Universität Berlin im Klinikum WestendDeutschland

Personalised recommendations