SavedAdd your journal

Journals / Acta Orthopaedica et Traumatologica Turcica / 2010 / Cilt: 44 - Sayı: 6

İliolumbar arterin anatomik varyasyonları ve önemli cerrahi noktalarla ilişkisi

Anatomical variations of iliolumbar artery and its relation with surgical landmarks

AMAÇ KİRAY
Ömer AKÇALI
Hamid TAYEFİ
Can KOŞAY
İpek ERGÜR
Pages
464–468
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The anatomical properties of iliolumbar artery and its relation with anatomical landmarks, which were presented here, would be helpful in decreasing iatrogenic trauma to iliolumbar artery during surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The aim of this study was to reveal the variations of origin of iliolumbar artery, and its relations with the surrounding surgically important anatomical structures.
📊
Key Findings & Data:Methods: The origin, diameter, and tract of iliolumbar artery were determined bilaterally in 21 formalin-fixed adult male cadavers (21 right and 21 left arteries) in the Laboratory of Department of Anatomy.
💡
Conclusion & Impact:Conclusion: The anatomical properties of iliolumbar artery and its relation with anatomical landmarks, which were presented here, would be helpful in decreasing iatrogenic trauma to iliolumbar artery during surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: The aim of this study was to reveal the variations of origin of iliolumbar artery, and its relations with the surrounding surgically important anatomical structures. Methods: The origin, diameter, and tract of iliolumbar artery were determined bilaterally in 21 formalin-fixed adult male cadavers (21 right and 21 left arteries) in the Laboratory of Department of Anatomy. Results: Iliolumbar artery was originating from common iliac artery in 4.8% (2 arteries), internal iliac artery in 71.4% (30 arteries), posterior trunk of internal iliac artery in 19% (8 arteries), and as two different arteries from internal iliac artery in 4.8% (2 arteries) of the cases. The mean diameter of the iliolumbar artery was 3.7 mm. Conclusion: The anatomical properties of iliolumbar artery and its relation with anatomical landmarks, which were presented here, would be helpful in decreasing iatrogenic trauma to iliolumbar artery during surgery.

Özet

Amaç: Çalışmamızda iliolumbar arterin orijin varyasyonları ve arterin çevresindeki cerrahi olarak önemli anatomik oluşumlarla ilişkisinin ortaya çıkarılması amaçlandı. Çalışma planı: Anatomi Anabilim Dalı Laboratuvarı’nda formaldehid ile fikse edilmiş 21 yetişkin erkek kadavrada iliolumbar arterin (21 sol, 21 sağ arter) orijin yeri, çapı ve arterin izlediği yol bilateral olarak değerlendirildi. Sonuçlar: iliolumbar arter olguların %4.8’inde (2 arter) ana iliak arterden, %71.4’ünde (30 arter) internal iliak arterden, %19’unda (8 arter) internal iliak arterin arka kökünden ve %4.8’inde (2 arter) ise internal iliak arterden iki farklı arter olarak ayrıldı. iliolumbar arterin ortalama çapı 3.7 mm olarak ölçüldü. Çıkarımlar: Çalışmamızda belirlenen iliolumbar arterin anatomik özellikleri ve cerrahi noktalar ile ilişkisi, bölge cerrahisi ile uğraşanlar için iliolumbar arterin yaralanma riskini azaltmada yol gösterici olacaktır.

🔖

Cite This Article

KİRAY, A., AKÇALI, Ö., TAYEFİ, H., KOŞAY, C., ERGÜR, İ. (2010). İliolumbar arterin anatomik varyasyonları ve önemli cerrahi noktalarla ilişkisi. Acta Orthopaedica et Traumatologica Turcica, Cilt: 44 - Sayı: 6, 464–468. https://ajindex.com/articles/354437

References (10)

  1. Winters HA, van Harten SM, van Royen BJ. The iliolumbar artery as the nutrient pedicle for an iliac crest graft: a new technique in reconstruction of the lumbar spine. Plast Reconstr Surg 2002;109:249-52
  2. Kiray A, Akçalı O, Güvencer M, Tetik S, Alıcı E. Iliolumbar veins have a high frequency of variations. Clin Orthop Relat Res 2004;(425):252-7
  3. Kulkarni SS, Lowery GL, Ross RE, Ravi Sankar K, Lykomitros V. Arterial complications following anterior lumbar interbody fusion: report of eight cases. Eur Spine J 2003;12:48-54 4. Chen RS, Liu YX, Liu CB, Hu YS, Xu DC, Zhong SZ, et al. Anatomic basis of iliac crest flap pedicled on the iliolumbar artery. Surg Radiol Anat 1999;21:103-7
  4. Harrington JF Jr. Far lateral disc excision at L5-S1 complicated by iliolumbar artery incursion: case report. Neurosurgery 2001;48:1377-80
  5. Ebraheim NA, Lu J, Biyani A, Yang H. Anatomic considerations of the principal nutrient foramen and artery on internal surface of the ilium. Surg Radiol Anat 1997;19: 237-9
  6. Yiming A, Baqué P, Rahili A, Mayer J, Braccini AL, Fontaine A, et al. Anatomical study of the blood supply of the coxal bone: radiological and clinical application. Surg Radiol Anat 2002;24:81-6
  7. Hayashi A, Maruyama Y, Okajima Y, Motegi M. Vascularized iliac bone graft based on a pedicle of upper lumbar vessels for anterior fusion of the thoraco-lumbar spine. Br J Plast Surg 1994;47:425-30
  8. Ayvaz M, Yılmaz G, Akpınar E, Acaroğlu ER. Percutaneous iliolumbar screw fixation in a patient with unstable pelvic fracture and transitional lumbar vertebrae and cadaveric illustration of the fixation. [Article in Turkish] Acta Orthop Traumatol Turc 2009;43:444-7
  9. Zindrick MR, Wiltse LL, Widell EH, Thomas JC, Holland WR, Field BT, et al. A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop Relat Res 1986;(203):99-112
  10. Ergür İ, Akçalı O, Kiray A, Koflay C, Tayefi H. Neurovascular risks of sacral screws with bicortical purchase: an anatomical study. Eur Spine J 2007;16:1519-23