Urological injury as a complication of the transpsoas approach for discectomy and interbody fusion

Report of 3 cases

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  • 1 Departments of Surgery and
  • 2 Neurosurgery, Cedars-Sinai Spine Center, Los Angeles, California
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Transpsoas discectomy and interbody fusion has become an increasingly popular method of achieving lumbar interbody fusion, but reports of neurological, vascular, and gastrointestinal complications associated with this procedure have been described in the literature. To date, however, ureteral complications have not been reported with this procedure. The authors report 2 cases of ureteral injury and 1 case of renal injury following this procedure. A low index of suspicion is warranted to work up any patient having flank or abdominal symptoms after undergoing transpsoas discectomy and interbody fusion.

Abbreviation used in this paper:DLIF = direct lateral interbody fusion.

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Contributor Notes

Address correspondence to: Neel Anand, M.D., Cedars-Sinai Spine Center, 444 South San Vicente Boulevard, Suite 800, Los Angeles, California 90048. email: neel.anand@cshs.org.

Please include this information when citing this paper: published online November 2, 2012; DOI: 10.3171/2012.9.SPINE12659.

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