Urinary bladder dysfunction following anterior lumbosacral spine fusion: case report and review of the literature
| Autor: | John K. Webb, A. A. Faraj, R. J. Lemberger |
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| Rok vydání: | 1996 |
| Předmět: |
Adult
Sacrum medicine.medical_specialty Urinary system medicine.medical_treatment media_common.quotation_subject Urination Refractory Parasympathetic Nervous System Sensation medicine Humans Orthopedics and Sports Medicine media_common Lumbar Vertebrae Urinary bladder business.industry Urination Disorders Low back pain Surgery Spinal Fusion medicine.anatomical_structure Spinal fusion Anesthesia Female Neurosurgery medicine.symptom business Low Back Pain |
| Zdroj: | European Spine Journal. 5:121-124 |
| ISSN: | 1432-0932 0940-6719 |
| DOI: | 10.1007/bf00298391 |
| Popis: | A 34-year-old woman suffering from chronic degenerative low back pain involving L5-S1 disc space, refractory to conservative treatment, underwent spinal fusion. A combined instrumented posterolateral, followed by anterior, interbody allograft fusion through a left retroperitoneal approach was performed. Postoperatively, the patient was unable to evaculate her bladder and control her micturition. Anal tone and sensation were intact. A self-catheterisation regime was instituted with a diagnosis of parasympathetic nerve injury during the anterior spinal fusion. After a period of 3 months, the patient regained control of urination. We report this case to highlight the importance of protecting the parasympathetic presacral nerve during L5-S1 anterior interbody fusion, as injury to this nerve affects urinary evacuation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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