Anhidrosis after anterior retroperitoneal approach for L4–L5 artificial disc replacement

Kasliwal, Manish K.; Deutsch, Harel

doi:10.1016/j.jocn.2010.11.022

Cited by 5 publications

(6 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is not traveling in the muscle and can be dissected and retracted anteriorly. Damage to it can lead to anhidrosis, warmness of the leg as well as sexual dysfunction [21,22]. None of these complications were observed in our patients--however, a larger series is required to confirm the safety of this approach.…”

Section: Discussionmentioning

confidence: 62%

Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients

Aghayev

Vrionis

2013

Eur Spine J

View full text Add to dashboard Cite

Purpose The main aim of this paper was to report reproducible method of lumbar spine access via a lateral retroperitoneal route. Methods The authors conducted a retrospective analysis of the technical aspects and clinical outcomes of six patients who underwent lateral multilevel retroperitoneal interbody fusion with psoas muscle retraction technique. The main goal was to develop a simple and reproducible technique to avoid injury to the lumbar plexus. Results Six patients were operated at 15 levels using psoas muscle retraction technique. All patients reported improvement in back pain and radiculopathy after the surgery. The only procedure-related transient complication was weakness and pain on hip flexion that resolved by the first follow-up visit. Conclusions Psoas retraction technique is a reliable technique for lateral access to the lumbar spine and may avoid some of the complications related to traditional minimally invasive transpsoas approach.

show abstract

Section: Discussionmentioning

confidence: 62%

Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients

Aghayev

Vrionis

2013

Eur Spine J

View full text Add to dashboard Cite

show abstract

“…Die Ganglien im Bereich der Lendenwirbelsäule werden auch Ganglia lumbalia genannt und liegen medial des M. psoas major. Schädigungen des Truncus sympathicus bei Operationen im Bereich der Lendenwirbelsäule sind vorbeschrieben 1 .…”

Section: Läsion Des Truncus Sympathicus Auf Höhe Von Lwk2unclassified

Mein einer Fuß ist so warm

Häger¹,

Dafotakis²

2022

Klinische Neurophysiologie

View full text Add to dashboard Cite

show abstract

“…Collapsed disc at concave site leading to relaxation of the structure may explain this finding. Inadvertent injury to LSC during anterolateral approach to spinal column is a known complication which may be underdiagnosed [13,18]. Hrabalek et al [14] reported 28 cases of post-anterior or lateral lumbar interbody fusion with post-sympathectomy syndrome.…”

Section: Dextroscoliosis Group (Mm)mentioning

confidence: 99%

“…At L1 to L5 approach, LSC is usually identified and was recommended to be cauterized if necessary [7]. Symptoms of post-sympathectomy syndrome including cold sensation on contralateral side of the injury due to vasodilatation of the affected side, anhidrosis, dysesthesia, discoloration and swelling of limb were reported [13,14,[18][19][20]. Rajaraman et al [18] have reported sympathetic chain injury in 6 from 60 patients (10%) in whom anterior lumbar interbody fusion (ALIF) by retroperitoneal approach was performed.…”

Section: Dextroscoliosis Group (Mm)mentioning

confidence: 99%

“…Lumbar sympathetic chain (LSC) usually runs anterolateral to vertebral body and anterior to psoas muscle [9][10][11] which makes it a structure at risk of injury during this approach. Accidental lumbar sympathectomy during anterior and lateral lumbar interbody fusion had been reported and associates with post-sympathectomy neuralgia and decreased quality of life [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Relation of lumbar sympathetic chain to the open corridor of retroperitoneal oblique approach to lumbar spine: an MRI study

et al. 2018

View full text Add to dashboard Cite

Background Retroperitoneal oblique approach to lumbar spine used surgical corridor between psoas muscle and aorta for exposure to anterior part of lumbar spine. Lumbar sympathetic chain (LSC) runs in the corridor to make it a structure at risk of injury. Research question Does LSC relationship with surgical corridor for minimally invasive retroperitoneal anterolateral oblique approach change in different intervertebral disc level? Methods Left LSC was identified in axial magnetic resonance imaging images at L2-3, L3-4 and L4-5 intervertebral disc levels of 144 patients. Distances between LSC and left psoas muscle and aorta were recorded. Results Mean age of the patients was 62.3 years. LSC was identifiable in 90.9% of levels. Distance between LSC and psoas muscle at L2-3, L3-4 and L4-5 was 4.0 mm, 4.7 mm and 5.2 mm. Statistical difference was found between L2-3 and L4-5 level (p = 0.006). Distance between LSC and aorta at each level was 12.4 mm, 12.3 mm and 10.6 mm without statistical difference. In non-scoliosis group distance between LSC and psoas muscle at each level was 3.1 mm, 3.3 mm and 4.0 mm. Statistical difference was found between L2-3 and L4-5 level (p = 0.012) and between L3-4 and L4-5 level (p = 0.041). Distance between LSC and aorta at each level was 11.9 mm, 11.4 mm and 10.2 mm. Statistical difference was found between L2-3 and L4-5 disc level (p = 0.039). Conclusion LSC moves away from psoas muscle and becomes closer to aorta in L4-5 disc level.Graphical abstract These slides can be retrieved under Electronic Supplementary Material.

show abstract

Anhidrosis after anterior retroperitoneal approach for L4–L5 artificial disc replacement

Cited by 5 publications

References 11 publications

Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients

Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients

Mein einer Fuß ist so warm

Relation of lumbar sympathetic chain to the open corridor of retroperitoneal oblique approach to lumbar spine: an MRI study

Contact Info

Product

Resources

About