Lumbar Scoliosis (Degenerative) and MIS (Lateral) Surgery Complications

Chapter

Abstract

Minimally invasive lateral lumbar surgery has increased in popularity for the treatment of adult spinal deformity (ASD). It has decreased the risk of numerous comorbidities traditionally associated with the anterior approach as well as the need for anterior access surgeons. However, the unique complication profile that can occur when performing these lateral techniques has limited widespread mass adoption while prompting criticism and even condemnation from traditional spine surgeons. This chapter introduces a sampling of case report complications and discusses appropriate management and treatment strategies in hopes to provide education and insight for contemporary spine surgeons considering incorporating these techniques safely into their surgical repertoire.

Keywords

Degenerative scoliosis Adult Lumbar Lateral interbody fusion Complications Subsidence Vertebral body fracture Nerve injury Bowel perforation Vascular injury 

References

  1. 1.
    Ploumis A, Transfledt EE, Denis F. Degenerative lumbar scoliosis associated with spinal stenosis. Spine J. 2007;7(4):428–36.CrossRefPubMedGoogle Scholar
  2. 2.
    Ozgur BM, Aryan HE, Pimenta L, Taylor WR. Extreme lateral interbody fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006;6(4):435–43.CrossRefPubMedGoogle Scholar
  3. 3.
    Youssef JA, McAfee PC, Patty CA, Raley E, DeBauche S, Shucosky E, Chotikul L. Minimally invasive surgery: lateral approach interbody fusion: results and review. Spine (Phila Pa 1976). 2010;35(S 26):302–11.CrossRefGoogle Scholar
  4. 4.
    Moller DJ, Slimack NP, Acosta FL Jr, Koski TR, Gessler RG, Liu JC. Minimally invasive lateral lumbar interbody fusion and transpsoas approach – related morbidity. Neurosurg Focus. 2011;31(4):E4.CrossRefPubMedGoogle Scholar
  5. 5.
    Dakwar E, Le TV, Baaj AA, Smith WD, Akbarnia BA, Uribe JS. Abdominal wall paresis as a complication of minimally invasive lateral transpsoas interbody fusion. Neurosurg Focus. 2011;31(4):E18. doi: 10.3171/2011.7.FOCUS11164.CrossRefPubMedGoogle Scholar
  6. 6.
    Dakwar E, Cardona RF, Smith DA, Uribe JS. Early outcomes and safety of the minimally invasive, lateral retroperitoneal transpsoas approach for adult degenerative scoliosis. Neurosurg Focus. 2010;28(3):E8.CrossRefPubMedGoogle Scholar
  7. 7.
    Uribe JS, Deukmedjian AR. Visceral, vascular, and wound complications following over 13,000 lateral interbody fusions: a survey study and literature review. Eur Spine J. 2015;24(Suppl 3):S386–96.CrossRefGoogle Scholar
  8. 8.
    Kueper J, Fantini GA, Walker BR, Aichmair A, Hughes AP. Incidence of vascular complications during lateral lumbar interbody fusion: an examination of the mini-open access technique. Eur Spine J. 2015;24(4):800–9. doi: 10.1007/s00586-015-3796-2.CrossRefPubMedGoogle Scholar
  9. 9.
    Aichmair A, Fantini GA, Garvin S, Beckman J, Girardi FP. Aortic perforation during lateral lumbar interbody fusion. J Spinal Disord Tech. 2015;28(2):71–5.CrossRefPubMedGoogle Scholar
  10. 10.
    Le TV, Baaj AA, Dakwar E, Uribe JS. Subsidence of polyetheretherketone intervertebral cages in minimally invasive lateral retroperitoneal transpsoas lumbar interbody fusion. Spine (Phila Pa 1976). 2012;37(14):1268–73.CrossRefGoogle Scholar
  11. 11.
    Marchi L, Abdala N, Oliveira L, Amaral R, Coutinho E, Pimenta L. Radiographic and clinical evaluation of cage subsidence after stand-alone lateral interbody fusion. J Neurosurg Spine. 2013;19(1):110–8.CrossRefPubMedGoogle Scholar
  12. 12.
    Kwon B, Kim D. Lateral lumbar interbody fusion: indications, outcomes, and complications. J Am Acad Orthop Surg. 2016;24(2):96–105. doi: 10.5435/JAAOS-D-14-00208.CrossRefPubMedGoogle Scholar
  13. 13.
    Tempel ZJ, Gandhoke GS, Bolinger BD, Okonkwo DO, Kanter AS. Vertebral body fracture following stand-alone lateral lumbar interbody fusion (LLIF): report of two events out of 712 levels. Eur Spine J. 2015;24(S3):S409–13.CrossRefGoogle Scholar
  14. 14.
    Tempel ZJ, Gandhoke GS, Okonkwo DO, Kanter AS. Impaired remain bone mineral density as a predictor of graft subsidence following minimally invasive transpsoas lateral lumbar interbody fusion. Eur Spine J. 2015;24(S3):414–9. doi: 10.1007/s00586-015-3844-y.CrossRefPubMedGoogle Scholar
  15. 15.
    Dua K, Kepler CK, Huang RC, Marchenko A. Vertebral body fracture after anterolateral instrumentation and interbody fusion in two osteoporotic patients. Spine J. 2010;10(9):e11–5. doi: 10.1016/j.spinee.2010.07.007.CrossRefPubMedGoogle Scholar
  16. 16.
    Brier-Joes JE, Palmer DK, Inceoglu S, Cheng WK. Vertebral body fracture after transpsoas interbody fusion procedures. Spine J. 2011;11(11):1068–72. doi: 10.1016/j.spinee.2001.07.020.CrossRefGoogle Scholar
  17. 17.
    Liu X, Ma J, Park P, Huang X, Xie N, Ye X. Biomechanical comparison of multilevel lateral interbody fusion with and without supplementary instrumentation: a three-dimensional finite element study. BMC Musculoskelet Disord. 2017;18(63):1–11. doi: 10.1186/s12891-017-1387-6.Google Scholar

Copyright information

© The Author(s) 2018

Authors and Affiliations

  1. 1.Department of Neurological SurgeryUniversity of South FloridaTampaUSA

Personalised recommendations