Clinical Data
3 Case Studies (Laynes - JBJS Case Connect 2024)
Injury to the Superior Gluteal Artery During Minimally Invasive Sacroiliac Joint Fusion: A Case Series
Laynes RA, Aravindan S, Wharton B, Layne JE, Kleck CJ, Patel VV.
JBJS Case Connect. 2024 Sep 13;14(3).
doi: 10.2106/JBJS.CC.24.00202. PMID: 39270041.
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.
Author Information
Laynes RA, CJ Kleck, Patel W - Department of Orthopedic Surgery, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
Aravindan S, Wharton B, Layne JE - University of Colorado, School of Medicine, Anschutz Medical Campus, Aurora, Colorado.