Complications of the Prone Transpsoas Lateral Lumbar Interbody Fusion for Degenerative Lumbar Spine Disease: A Multicenter Study.

Autor:	Soliman MAR; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo , New York , USA.; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo , New York , USA.; Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo , Egypt., Diaz-Aguilar L; Department of Neurological Surgery, University of California, San Diego, La Jolla , California , USA., Kuo CC; Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo , New York , USA., Aguirre AO; Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo , New York , USA., Khan A; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo , New York , USA.; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo , New York , USA., San Miguel-Ruiz JE; Department of Neurological Surgery, Duke University, Durham , North Carolina , USA., Amaral R; Department of Neurological Surgery, Instituto de Patologia da Coluna, São Palo Sul , Brazil., Abd-El-Barr MM; Department of Neurological Surgery, Duke University, Durham , North Carolina , USA., Moss IL; Department of Orthopedic Surgery, University of Connecticut, Farmington , Connecticut , USA., Smith T; Sierra Spine Institute, Roseville , California , USA., Deol GS; Wake Orthopaedics, WakeMed Health and Hospitals, Raleigh , North Carolina , USA., Ehresman J; Department of Neurological Surgery, Barrow Neurological Institute, Phoenix , Arizona , USA., Battista M; Department of Neurological Surgery, Barrow Neurological Institute, Phoenix , Arizona , USA., Lee BS; Department of Neurological Surgery, Barrow Neurological Institute, Phoenix , Arizona , USA., McMains MC; McMains Spine, Indianapolis , Indiana , USA., Joseph SA Jr; Joseph Spine Institute, Tampa , Florida , USA., Schwartz D; OrthoIndy, Indianapolis , Indiana , USA., Nguyen AD; Department of Neurological Surgery, University of California, San Diego, La Jolla , California , USA., Taylor WR; Department of Neurological Surgery, University of California, San Diego, La Jolla , California , USA., Pimenta L; Department of Neurological Surgery, Instituto de Patologia da Coluna, São Palo Sul , Brazil., Pollina J; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo , New York , USA.; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo , New York , USA.
Jazyk:	angličtina
Zdroj:	Neurosurgery [Neurosurgery] 2023 Nov 01; Vol. 93 (5), pp. 1106-1111. Date of Electronic Publication: 2023 Jun 05.
DOI:	10.1227/neu.0000000000002555
Abstrakt:	Background and Objectives: The prone transpsoas (PTP) approach for lateral lumbar interbody fusion (LLIF) is a novel technique for degenerative lumbar spine disease. However, there is a paucity of information in the literature on the complications of this procedure, with all published data consisting of small samples. We aimed to report the intraoperative and postoperative complications of PTP in the largest study to date. Methods: A retrospective electronic medical record review was conducted at 11 centers to identify consecutive patients who underwent LLIF through the PTP approach between January 1, 2021, and December 31, 2021. The following data were collected: intraoperative characteristics (operative time, estimated blood loss [EBL], intraoperative complications [anterior longitudinal ligament (ALL) rupture, cage subsidence, vascular and visceral injuries]), postoperative complications, and hospital stay. Results: A total of 365 patients were included in the study. Among these patients, 2.2% had ALL rupture, 0.3% had cage subsidence, 0.3% had a vascular injury, 0.3% had a ureteric injury, and no other visceral injuries were reported. Mean operative time was 226.2 ± 147.9 minutes. Mean EBL was 138.4 ± 215.6 mL. Mean hospital stay was 2.7 ± 2.2 days. Postoperative complications included new sensory symptoms-8.2%, new lower extremity weakness-5.8%, wound infection-1.4%, cage subsidence-0.8%, psoas hematoma-0.5%, small bowel obstruction and ischemia-0.3%, and 90-day readmission-1.9%. Conclusion: In this multicenter case series, the PTP approach was well tolerated and associated with a satisfactory safety profile. (Copyright © Congress of Neurological Surgeons 2023. All rights reserved.)
Databáze:	MEDLINE
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