First report of major vascular injury due to lateral transpsoas approach leading to fatality
Document Type
Article
Abstract
Extreme lateral interbody fusion (XLIF) has gained popularity among spine surgeons for treating multiple conditions of the lumbar spine. In contrast to the anterior lumbar interbody fusion (ALIF) approach, the minimally invasive XLIF approach affords wide access to the lumbar disc space without an access surgeon and causes minimal tissue disruption. The XLIF approach offers many advantages over other lumbar spine approaches, with a reportedly low complication profile. The authors describe the first fatality reported in the literature following an XLIF approach. They describe the case of a 50-year-old woman who suffered a fatal intraoperative injury to the great vessels during a lateral transpsoas approach to the L4-5 disc space.
Medical Subject Headings
Fatal Outcome; Female; Humans; Iatrogenic Disease; Iliac Vein (injuries); Middle Aged; Orthopedic Procedures (adverse effects, methods); Psoas Muscles (surgery); Spinal Fusion (adverse effects, methods); Vascular System Injuries (etiology); Vena Cava, Inferior (injuries)
Publication Date
11-1-2014
Publication Title
Journal of neurosurgery. Spine
E-ISSN
1547-5646
Volume
21
Issue
5
First Page
794
Last Page
8
PubMed ID
25192374
Digital Object Identifier (DOI)
10.3171/2014.7.SPINE131146
Recommended Citation
Assina, Rachid; Majmundar, Neil J.; Herschman, Yehuda; and Heary, Robert F., "First report of major vascular injury due to lateral transpsoas approach leading to fatality" (2014). Neurosurgery. 2199.
https://scholar.barrowneuro.org/neurosurgery/2199