Acute deep venous thrombosis induced by May-Thurner syndrome after spondylolisthesis surgery:A case report and review of literature  

作　　者：Lei Yue Hao-Yong Fu Hao-Lin Sun 

机构地区：[1]Department of Orthopedics,Peking University First Hospital,Beijing 100034,China

出　　处：《World Journal of Clinical Cases》2021年第25期7490-7497,共8页世界临床病例杂志

摘　　要：BACKGROUND Deep venous thrombosis(DVT)is a serious complication of lumbar spine surgery.Current guidelines recommend pharmacomechanical prophylaxis for patients at high risk of DVT after spine surgery.May-Thurner syndrome(MTS),a venous anatomical variation that may require invasive intervention,is an often overlooked cause of DVT.To date,no case reports of symptomatic MTS caused by isthmic spondylolisthesis or subsequent acute DVT after posterior lumbar surgery have been published.CASE SUMMARY We here present a case of a patient who developed acute DVT 4 h after spondylolisthesis surgery,and MTS was only considered after surgery,during a review of a gynecological enhanced computed tomography image taken before the procedure.CONCLUSION In conclusion,clinicians should consider MTS in the presence of a dangerous triad:spondylolisthesis,elevated D-dimer levels,and sonographically indicated unilateral deep vein dilation.Consultation with a vascular surgeon is also essential to MTS management.

关 键 词：SPONDYLOLISTHESIS Spine surgery Deep venous thrombosis May-Thurner syndrome COMPLICATION Case report 

分 类 号：R687.3[医药卫生—骨科学] R543.6[医药卫生—外科学]