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Review Question - QID 6886

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QID 6886 (Type "6886" in App Search)
During a left-sided transforaminal lumbar interbody fusion at the L4-5 level, the surgeon notes a significant amount of bleeding that cannot be controlled while using a pituitary rongeur. What anatomic structure has been injured?

Aorta

5%

50/1003

Common iliac artery

38%

379/1003

Common iliac vein

29%

294/1003

External iliac artery

11%

109/1003

External iliac vein

16%

156/1003

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The surgeon perforated the anterior longitudinal ligament and injured the common iliac artery. Bingol and associates described injuries to the vascular structures during lumbar disk surgery. The common iliac artery was most commonly affected and constituted 76.9% of injuries.

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