Variations in the origin of iliolumbar artery with its clinical significance
Keywords:
Iliolumbar artery, pelvic hemorrhage, clinical significanceAbstract
Introduction: The Iliolumbar artery mainly arises from the posterior division of the internal iliac artery. It extends oblique superiorly and laterally in front of the sacroiliac joint and lumbosacral trunk. It crosses the obturator nerve and external iliac vessels & reaches the medial edge of the psoas major. The aim of our study was to know the origin variability of the Iliolumbar artery. This helps to prevent any iatrogenic injury during various surgeries. Materials and Methods: 50 formalin-fixed adult human pelvic halves with known sex were procured from the Department of Anatomy, Medical College, Baroda. Site of origin of the Iliolumbar Artery was identified. Results: In the current study, we observed that the origin of the Iliolumbar Artery was from the posterior division of IIA in 52%, 38% from the trunk of the internal iliac artery, 4% from the single trunk with obturator artery from posterior division, and 6% absent. Conclusion: The variable origins of the ILA from different branches of the internal iliac artery should be taken into account during the surgical procedures involving the lower abdominal & pelvic region so as to modify the surgical tactics to prevent undesired hemorrhagic complications.
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References
Al Talalwah W, Al Dorazi SA, Soames R. The origin variability of the iliolumbar artery and iatrogenic sciatica. European Journal of Orthopaedic Surgery & Traumatology. 2015 Jul 1;25(1):199-204.
Chen R, Liu Y, Liu C, Hu Y, Xu D, Zhong S, Li ZH. Anatomic basis of iliac crest flap pedicled on the iliolumbar artery. SurgRadiol Anat. 1999; 21(2):103–107.
Ebraheim NA, Lu J, Biyani A, Yang H. Anatomic considerations of the principal nutrient foramen and artery on the internal surface of the ilium. SurgRadiol Anat. 1997;19: 237-39.
Harrington JF Jr. Far lateral disc excision at L5-S1 complicated by iliolumbar artery incursion: case report. Neurosurgery. 2001;48: 1377-80
Kelly HA. Ligation of both internal arteries for hemorrhage in hysterectomy for carcinoma uteri. Bull Johns Hopkins Hosp 1894; 5:53-4
Kiray A, Akçal O, Güvencer M, Tetik S, Al›c› E. Iliolumbar veins have a high frequency of variations. ClinOrthopRelat Res 2004;(425):252-7.
Kiray A, Akçalý O, Tayefi H, Koþay C, Ergür I. Anatomical variations of iliolumbar artery and its relation with surgical landmarks. Actaorthopaedicalettraumatologicaturcica. 2010; 44(6):464-8.
Koç T, Gilan ÝY, Aktekin M, Kurtoðlu Z, Daðtekin A, Aytaç G, Coþgun E. Evaluation of the origin and branching patterns of the iliolumbar artery and its implications on pelvic and vertebral surgery. Saudi Medical Journal. 2016 Apr; 37(4):457.
Kulkarni SS, Lowery GL, Ross RE, Ravi Sankar K, Lykomitros V. Arterial complications following anteriorlumbar interbody fusion: report of eight cases. Eur Spine J 2003;12:48-54.
Lipshutz B. A composite study of the hypogastric artery and its branches. Ann Surg. 1918; 67: 584–608
ParulUpadhayay, RanjeetaHansdak, Sneh Agarwal Assessment of the iliolumbar artery: its structural variations and applied aspectInternational Journal of Research in Medical Sciences 2021 Aug;9(8):2304-2308 DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20213074.
Ravi Shankar Gadagi, Santosh Kumar Mulage. The origin variability of the iliolumbar artery: a cadaveric study with clinical significance. Int J Anat Res 2018;6(3.3):5708-5712. DOI: 10.16965/ijar.2018.320
Rusu MC, Cergan R, Dermengiu D, Curcã GC, Folescu R, Motoc AG, Jianu AM. The iliolumbar artery—anatomic considerations and details on the common iliac artery trifurcation. Clinical Anatomy: 2010 Jan; 23(1):93-100.
Teli CG, Kate NN, Kothandaraman U. Morphometryof the iliolumbar artery and the iliolumbar veinsand their correlations with the lumbosacral trunkand the obturator nerve. JCDR: 2013 Mar; 7(3):422.
Valchkevich D, Borel A. Anatomical Variation of Iliolumbar Artery and its Clinical Significance. Arch Biomed Eng&Biotechnol. 3(5): 2020. ABEB.MS.ID.000572. DOI: 10.33552/ABEB.2020.03.000572.
Winters HA, van Harten SM, van Royen BJ. The iliolumbar artery as the nutrient pedicle for an iliac crest graft: a new technique in the reconstruction of the lumbar spine. PlastReconstrSurg 2002;109:249-52.
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. SurgRadiol Anat. 2002;24:81-86
Yuvaraj Maria Francis1, Thotakura Balaji2, Hannah SugirthabaiRajilaRajendran3, Vaithianathan Gnanasundaram4, Aruna Subramanian5 andBalaji Karunakaran6 Study on Variations in the Origin and Branching Pattern of Internal Iliac Artery in Cadavers Biomedical & Pharmacology Journal, December 2018 Vol. 11(4), p. 2201-2207.
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