Advertisement

European Spine Journal

, Volume 24, Supplement 3, pp 405–408 | Cite as

A case report of a rare complication of bowel perforation in extreme lateral interbody fusion

  • Massimo BalsanoEmail author
  • Stefano Carlucci
  • Marija Ose
  • Luca Boriani
Case Report

Abstract

Over the past decade, extreme lateral interbody fusion (XLIF) has gained in popularity as a minimally invasive alternative to direct anterior lumbar interbody fusion (ALIF), and ALIF’s associated morbidity. Most notably, XLIF largely avoids vascular and visceral structures that are required to be mobilized in ALIF. In this case report, the authors describe a rare complication of a bowel injury in a 70-year-old male who underwent an L3–4 and L4–5 lateral transpsoas approach for interbody fusion.

Keywords

XLIF DLIF Transpsoas Lateral Complications Visceral Bowel 

Notes

Conflict of interest

No conflicts of interests exist.

References

  1. 1.
    Berjano P, Balsano M, Buric J, Petruzzi M, Lamartina C (2012) Direct lateral access lumbar and thoracolumbar fusion: preliminary results. Eur Spine J 21(Suppl 1):S37–S42CrossRefPubMedGoogle Scholar
  2. 2.
    Ozgur BM, Aryan HE, Pimenta L, Taylor WR (2006) Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J 6:435–443CrossRefPubMedGoogle Scholar
  3. 3.
    Rodgers WB, Uribe JS (2013) Complications and their avoidance in eXtreme lateral interbody fusion (XLIF). In: Goodrich JA, Volcan IJ (eds) eXtreme lateral interbody fusion (XLIF), 2nd edn. Quality Medical Publishing, Inc (QMP), St. LouisGoogle Scholar
  4. 4.
    Malone KT, Rodgers WB, Osio G, Smith WD (2013) Anatomic considerations in XLIF(r). In: Goodrich J, Volcan I (eds) Extreme lateral interbody fusion (XLIF(r). Quality Medical Publishing, Inc. (QMP), St. LouisGoogle Scholar
  5. 5.
    Ozgur BM, Aryan HE, Pimenta L, Taylor WR (2006) Extreme lateral interbody fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J 6:435–443CrossRefPubMedGoogle Scholar
  6. 6.
    Rodgers WB, Gerber EJ, Patterson J (2011) Intraoperative and early postoperative complications in extreme lateral interbody fusion: an analysis of 600 cases. Spine 36:26–32CrossRefPubMedGoogle Scholar
  7. 7.
    Tormenti MJ, Maserati MB, Bonfield CM, Okonkwo DO, Kanter AS (2010) Complications and radiographic correction in adult scoliosis following combined transpsoas extreme lateral interbody fusion and posterior pedicle screw instrumentation. Neurosurg Focus 28:E7CrossRefPubMedGoogle Scholar
  8. 8.
    Penta M, Fraser RD (1997) Anterior lumbar interbody fusion. A minimum 10-year follow-up. Spine 22:2429–2434CrossRefPubMedGoogle Scholar
  9. 9.
    Rajaraman V, Vingan R, Roth P, Heary RF, Conklin L, Jacobs GB (1999) Visceral and vascular complications resulting from anterior lumbar interbody fusion. J Neurosurg 91:60–64PubMedGoogle Scholar
  10. 10.
    Keerthi I, Dhillon CS, Shetty MB (2012) Late-onset bowel perforation and iliac artery erosion after prominent anterior spinal instrumentation. Spine 37:E1402–E1405CrossRefPubMedGoogle Scholar
  11. 11.
    Ruf M, Voigt A, Kupczyk-Joeris D, Merk HR (2011) Perforation of the sigmoid colon due to intradiscal spacer dislocation. Eur Spine J 20(Suppl 2):S289–S293CrossRefPubMedGoogle Scholar
  12. 12.
    Lee P, Fessler RG (2012) Perioperative and postoperative complications of single-level minimally invasive transforaminal lumbar interbody fusion in elderly adults. J Clin Neurosci 19:111–114CrossRefPubMedGoogle Scholar
  13. 13.
    Pumberger M, Hughes AP, Huang RR, Sama AA, Cammisa FP, Girardi FP (2011) Neurologic deficit following lateral lumbar interbody fusion. Eur Spine JGoogle Scholar
  14. 14.
    Rodgers WB, Cox CS, Gerber EJ (2010) Early complications of extreme lateral interbody fusion in the obese. J Spinal Disord Tech 23:393–397CrossRefPubMedGoogle Scholar
  15. 15.
    Rodgers WB, Gerber EJ, Patterson J (2011) Intraoperative and early postoperative complications in extreme lateral interbody fusion: an analysis of 600 cases. Spine 36:26–32CrossRefPubMedGoogle Scholar
  16. 16.
    Tohmeh AG, Rodgers WB, Peterson MD (2011) Dynamically evoked, discrete-threshold electromyography in the extreme lateral interbody fusion approach. J Neurosurg Spine 14:31–37CrossRefPubMedGoogle Scholar
  17. 17.
    Berjano P, Lamartina C (2011) Minimally invasive lateral transpsoas approach with advanced neurophysiologic monitoring for lumbar interbody fusion. Eur Spine J 20:1584–1586CrossRefPubMedGoogle Scholar
  18. 18.
    Berjano P, Damilano M, Lamartina C (2012) Sagittal alignment correction and reconstruction of lumbar post-traumatic kyphosis via MIS lateral approach. Eur Spine J 21:2718–2720CrossRefPubMedCentralPubMedGoogle Scholar
  19. 19.
    Berjano P, Lamartina C (2013) Far lateral approaches (XLIF) in adult scoliosis. Eur Spine J 22(Suppl 2):S242–S253CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Massimo Balsano
    • 1
    Email author
  • Stefano Carlucci
    • 2
  • Marija Ose
    • 3
  • Luca Boriani
    • 1
  1. 1.Spinal Regional DepartmentSantorso Hospital, ULSS 4SantorsoItaly
  2. 2.Department of NeurosciencesUniversity Orthopedic ClinicBariItaly
  3. 3.Hospital of Traumatology and OrthopaedicsRigaLatvia

Personalised recommendations