- •Patients with haemorrhage due to bleeding of the lumbar arteries have a higher rate of lumbar transverse process fractures.
- •Patients with lumbar artery bleeding also have a greater number of massive transfusions, higher injury severity score and shock index.
- •Lumbar transverse process fractures in a shocked patient may predict haemorrhage requiring early, aggressive intervention.
- •Lumbar artery bleeds are best managed in Level-1 or Level-2 trauma facilities equipped with angioembolisation facilities or hybrid theatres.
Materials and methods
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