Abstract
A lateral transpsoas approach to achieve interbody fusion in the lumbar spine using either the extreme lateral interbody fusion or direct lateral interbody fusion technique is an increasingly popular method to treat spinal disease. Dissection and dilation through the iliopsoas muscle places the lumbosacral plexus at risk for injury, but there is very limited information in the published literature about adverse clinical events resulting in postoperative motor deficits or reports of failure of electrophysiological monitoring to detect nerve injury. The authors present 2 cases of postoperative motor deficits following the transpsoas approach not detected by intraoperative monitoring, review the medical literature, and discuss strategies for complication avoidance.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 280-284 |
| Number of pages | 5 |
| Journal | Journal of Neurosurgery: Spine |
| Volume | 15 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 2011 |
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Keywords
- Complication
- Direct lateral interbody fusion
- Extreme lateral interbody fusion
- Lumbar
- Nerve injury
- Transpsoas approach
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
- Neurology
Cite this
Nerve injury during the transpsoas approach for lumbar fusion : Report of 2 cases. / Houten, John K.; Alexandre, Lucien C.; Nasser, Rani; Wollowick, Adam L.
In: Journal of Neurosurgery: Spine, Vol. 15, No. 3, 09.2011, p. 280-284.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Nerve injury during the transpsoas approach for lumbar fusion
T2 - Report of 2 cases
AU - Houten, John K.
AU - Alexandre, Lucien C.
AU - Nasser, Rani
AU - Wollowick, Adam L.
PY - 2011/9
Y1 - 2011/9
N2 - A lateral transpsoas approach to achieve interbody fusion in the lumbar spine using either the extreme lateral interbody fusion or direct lateral interbody fusion technique is an increasingly popular method to treat spinal disease. Dissection and dilation through the iliopsoas muscle places the lumbosacral plexus at risk for injury, but there is very limited information in the published literature about adverse clinical events resulting in postoperative motor deficits or reports of failure of electrophysiological monitoring to detect nerve injury. The authors present 2 cases of postoperative motor deficits following the transpsoas approach not detected by intraoperative monitoring, review the medical literature, and discuss strategies for complication avoidance.
AB - A lateral transpsoas approach to achieve interbody fusion in the lumbar spine using either the extreme lateral interbody fusion or direct lateral interbody fusion technique is an increasingly popular method to treat spinal disease. Dissection and dilation through the iliopsoas muscle places the lumbosacral plexus at risk for injury, but there is very limited information in the published literature about adverse clinical events resulting in postoperative motor deficits or reports of failure of electrophysiological monitoring to detect nerve injury. The authors present 2 cases of postoperative motor deficits following the transpsoas approach not detected by intraoperative monitoring, review the medical literature, and discuss strategies for complication avoidance.
KW - Complication
KW - Direct lateral interbody fusion
KW - Extreme lateral interbody fusion
KW - Lumbar
KW - Nerve injury
KW - Transpsoas approach
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U2 - 10.3171/2011.4.SPINE1127
DO - 10.3171/2011.4.SPINE1127
M3 - Article
VL - 15
SP - 280
EP - 284
JO - Journal of Neurosurgery: Spine
JF - Journal of Neurosurgery: Spine
SN - 1547-5654
IS - 3
ER -