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.
References
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–S42
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 6:435–443
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. Louis
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. Louis
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 6:435–443
Rodgers WB, Gerber EJ, Patterson J (2011) Intraoperative and early postoperative complications in extreme lateral interbody fusion: an analysis of 600 cases. Spine 36:26–32
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:E7
Penta M, Fraser RD (1997) Anterior lumbar interbody fusion. A minimum 10-year follow-up. Spine 22:2429–2434
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 91:60–64
Keerthi I, Dhillon CS, Shetty MB (2012) Late-onset bowel perforation and iliac artery erosion after prominent anterior spinal instrumentation. Spine 37:E1402–E1405
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–S293
Lee P, Fessler RG (2012) Perioperative and postoperative complications of single-level minimally invasive transforaminal lumbar interbody fusion in elderly adults. J Clin Neurosci 19:111–114
Pumberger M, Hughes AP, Huang RR, Sama AA, Cammisa FP, Girardi FP (2011) Neurologic deficit following lateral lumbar interbody fusion. Eur Spine J
Rodgers WB, Cox CS, Gerber EJ (2010) Early complications of extreme lateral interbody fusion in the obese. J Spinal Disord Tech 23:393–397
Rodgers WB, Gerber EJ, Patterson J (2011) Intraoperative and early postoperative complications in extreme lateral interbody fusion: an analysis of 600 cases. Spine 36:26–32
Tohmeh AG, Rodgers WB, Peterson MD (2011) Dynamically evoked, discrete-threshold electromyography in the extreme lateral interbody fusion approach. J Neurosurg Spine 14:31–37
Berjano P, Lamartina C (2011) Minimally invasive lateral transpsoas approach with advanced neurophysiologic monitoring for lumbar interbody fusion. Eur Spine J 20:1584–1586
Berjano P, Damilano M, Lamartina C (2012) Sagittal alignment correction and reconstruction of lumbar post-traumatic kyphosis via MIS lateral approach. Eur Spine J 21:2718–2720
Berjano P, Lamartina C (2013) Far lateral approaches (XLIF) in adult scoliosis. Eur Spine J 22(Suppl 2):S242–S253
Conflict of interest
No conflicts of interests exist.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Balsano, M., Carlucci, S., Ose, M. et al. A case report of a rare complication of bowel perforation in extreme lateral interbody fusion. Eur Spine J 24 (Suppl 3), 405–408 (2015). https://doi.org/10.1007/s00586-015-3881-6
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00586-015-3881-6