Even through there are many reported complications of the iliac bone donor site during anterior cervical spine surgery, vascular injuries are very rare, especially deep circumflex iliac artery(DCIA) injury encountered after harvesting of a bone graft. A 68-year-old female was presented with neck pain and recent progressive weakness due to dislocation and instability of C5/6 with cord compression. Corpectomy and inter-body fusion from C5 to 7 was done without any definite perioperative complications including the iliac donor site. On the 2nd post-operative day, a huge hematoma and active bleeding at the retroperitoneal site was found by computed tomography and angiography revealed bleeding from DCIA. The authors report a case of massive bleeding due to DCIA injury that was difficult to control and managed by selective arterial embolization.
