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Published on: June 16, 2023
Injury to the Superior Gluteal Artery During Minimally Invasive Sacroiliac Joint Fusion: A Case Series
Renzo A Laynes1, Shreyaas Aravindan2, Benjamin Wharton2
1Department of Orthopedic Surgery, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
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.
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