Temporary liver and stomach necrosis after lateral approach for interbody fusion and deformity correction of lumbar spine: report of two cases and review of the literature

Vasiliadis, Haris S.; Teuscher, Regula; Kleinschmidt, Mark; Marrè, Susanne; Heini, Paul

doi:10.1007/s00586-016-4562-9

Cited by 15 publications

(15 citation statements)

References 41 publications

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“…Vasiliadis et al reported two cases that developed acute liver and gastric necrosis due to an occlusion of celiac artery, after a spine deformity correction underwent LLIF [52]. The surgeon should be alert for an appearance of a medial arcuate ligament syndrome (MALS) if a large correction for ADS is planed.…”

Section: Visceral and Vascular Complicationsmentioning

confidence: 99%

Lateral Lumbar Interbody Fusion, Indications and Complications—An Updated Review

Chen¹,

Lai²,

Ma³

et al. 2020

Preprint

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PurposeTo perform an updated and comprehensive review of LLIF; we will also introduce a new modified LLIF named as crenel lateral interbody fusion (CLIF) to reduce the approach-related complicationsMethodsA systematic and critical review of recent literature was conducted. The sources of the data were form PubMed, MEDLINE, Embase, and Cochrane. Key search terms were "transpsoas", "interbody fusion", "LLIF", "XLIF", and “DLIF”ResultsStand-alone LLIF has the risk of cage subsidence and non-union rate. LLIF has less complication compared with other approaches because of its minimal invasive, but it still has some specific complications.ConclusionLLIF is a safe, effective and lower complication rate technique when compared to other interbody fusion methods.

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Section: Visceral and Vascular Complicationsmentioning

confidence: 99%

Lateral Lumbar Interbody Fusion, Indications and Complications—An Updated Review

Chen¹,

Lai²,

Ma³

et al. 2020

Preprint

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“…Rare complications such as celiac trunk occlusion and bowel perforation may also occur. [4–6] The location of the iliac wing contributes to the riskiness of this surgery, and precludes exposure of the L5–S1 disc space such that L4–5 surgery may be difficult. Therefore, accurate preoperative patient positioning is important.…”

Section: Introductionmentioning

confidence: 99%

Acute rib fracture caused by preoperative positioning for direct lateral interbody fusion

et al. 2019

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Rationale: Degenerative spondylolisthesis is defined as forward slippage of a vertebra with respect to the underlying vertebra and is associated with the induction of lumbar canal stenosis. The use of anterior column support for degenerative lumbar conditions has been well documented. Direct lateral interbody fusion (DLIF) gains access via a lateral approach through the retroperitoneal fat and psoas muscle. It avoids many of the access-related complications yet comes with its own risks and limitations. The location of the iliac wing precludes exposure of the L5–S1 disc space and may make L4–5 surgery difficult. Therefore, accurate preoperative patient positioning is essential. Patient concerns: A 71-year-old female with a body mass index (BMI) of 39.2 kg/m 2 (height 155.9 cm, weight 79.5 kg) presented with lumbar pain radiating to the left lower limb. She complained of neurologic claudication with more than 100 m ambulation. Diagnosis: Plain standing view on spine radiography revealed L4–5 spondylolisthesis and disc-space narrowing. Magnetic resonance imaging (MRI) revealed severe L4–5 bilateral foraminal stenosis. After the first surgery, simple rib cage radiography was performed to examine the source of her right-sided flank pain and it revealed acute fracture of the right ninth and tenth ribs. Interventions: The patient was laterally positioned on the table in an extreme bending position. The intervertebral cage was inserted in the L4–5 disc space and disc height was restored. With respect to the rib fracture, treatment was conservative. Outcomes: The patient's radiating pain was immediately relieved and her lower back pain disappeared at 3 months after surgery. The patient reported right-sided flank pain after the first surgery. Simple rib cage radiography was performed and revealed fracture of the right ninth and tenth ribs. Follow-up assessments conducted 2 months later revealed complete bony union. Lessons: DLIF avoids many access-related complications. However, it is associated with other intraoperative complications, including injury to the lumbar nerve root and plexus. In addition, there are preoperative complications associated with improper patient placement on the table. In this case, the patient's obesity and strict positional requirements resulted in rib fracture. We suggest that surgeons consider this complication and exercise care in preoperative positioning.

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“…In the gastrointestinal field, the chronic compression of the CA by the MAL is known as MAL compression syndrome, but the syndrome is rare 7) . Similar to the mechanism of MAL compression syndrome, excessive kyphosis correction also causes acute compression of the CA, leading to multiple organ failure in ACACS [1][2][3]5,6) . Moreover, because of the preoperative stenosis of the CA, we were concerned that this patient was at considerably more risk of developing ACACS 1,3) .…”

mentioning

confidence: 98%

“…Acute celiac artery compression syndrome (ACACS) after surgery for spinal deformity is a rare but severe complication with potentially fatal consequences [1][2][3][4][5][6] . We report a case in which median arcuate ligament (MAL) resection was performed before spinal surgery for preoperative celiac artery (CA) compression.…”

mentioning

confidence: 99%

Median Arcuate Ligament Resection before Surgery for Adult Spinal Deformity in Patient with Preoperative Stenosis of Celiac Artery: A Case Report

Kotani

Okazumi

Sakuma

et al. 2023

Spine Surg Relat Res

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Temporary liver and stomach necrosis after lateral approach for interbody fusion and deformity correction of lumbar spine: report of two cases and review of the literature

Cited by 15 publications

References 41 publications

Lateral Lumbar Interbody Fusion, Indications and Complications—An Updated Review

Lateral Lumbar Interbody Fusion, Indications and Complications—An Updated Review

Acute rib fracture caused by preoperative positioning for direct lateral interbody fusion

Median Arcuate Ligament Resection before Surgery for Adult Spinal Deformity in Patient with Preoperative Stenosis of Celiac Artery: A Case Report

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