Lymphocele formation after anterior lumbar interbody fusion at L4–5

Pee, Yong Hun; Kim, Ki Joon; Choi, Young‐Geun; Jeon, Sang Hyeop; Park, Jong Dae; Lee, Sang-Ho

doi:10.3171/spi-07/11/566

Cited by 14 publications

(2 citation statements)

References 20 publications

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“…Although lymphangiography is the gold standard for diagnosing a lymphocele, there are complications associated with this procedure such as pulmonary embolus, skin infection, skin necrosis, and lymphatic damage due to contrast use. Benefits of doing this procedure to diagnose a lymphocele are uncertain [ 6 , 8 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Abdominal Lymphocele Following Anterior Lumbar Interbody Fusion: A Case Report

Hazama

Abouelleil

Marawar

et al. 2018

Cureus

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Anterior lumbar interbody fusion (ALIF) is commonly utilized for surgical management of degenerative lumbar pathology. Although it is a reasonably safe procedure, it can potentially lead to major complications in case of neurovascular injuries. Occurrence of lymphocele after an ALIF is however rare.We present a case of a rare abdominal lymphocele in a 56-year-old man who underwent L3-S1 ALIF and subsequently developed an abdominal lymphocele. A lymphocele can manifest in numerous ways which can affect and possibly delay diagnoses. In addition to a high index of suspicion, numerous tests such as imaging studies, fluid analysis, gram stain and culture are used to confirm the diagnosis.Various options exist for the treatment of lymphoceles, including laparoscopic marsupialization, ultrasound-guided aspiration, sclerotherapy, peritoneal window, and external drainage. Timely diagnosis and treatment of a lymphocele results in a successful resolution in most cases.

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Section: Discussionmentioning

confidence: 99%

Abdominal Lymphocele Following Anterior Lumbar Interbody Fusion: A Case Report

Hazama

Abouelleil

Marawar

et al. 2018

Cureus

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“…Pee et al 28 reported an RPL after anterior lumbar interbody fusion at L4-5, which recurred after ultrasound-guided aspiration; it was eventually managed by open drainage through the previous retroperitoneal approach and application of lyophilized fibrin adhesive around the iliac vessels and prevertebral soft tissues. Wagner et al, 29 in their series of 19 patients describing access strategies for revision or exploration of the Charité lumbar total disc replacement system (DePuy Spine, Raynham, Massachusetts), reported 1 case of RPL with hydronephrosis after 2-level total disc replacement at L4-5 and L5-S1 treated with laparoscopic marsupialization after failure of nonoperative strategies.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal lymphocele after lumbar total disc replacement: a case report and review of literature

Mohapatra¹,

Kishen²,

Loi³

et al. 2010

SAS Journal

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BackgroundRetroperitoneal lymphoceles (RPLs) caused by injury to the lymphatics are commonly seen after pelvic lymphadenectomy, renal transplantation, and gynecologic tumor resection surgeries. Degenerative disc disease still remains the major cause of low-back pain. Anterior lumbar spinal procedures, such as anterior lumbar interbody fusion and anterior lumbar arthroplasty, have been increasingly performed for treatment of axial back pain. RPLs, as an approach-related complication, though infrequent, have been reported after anterior lumbar spinal surgery. We report a case of RPL after total disc replacement of the lumbar spine. To our knowledge, there has been no prior report of RPL after total disc replacement managed by percutaneous aspiration only.MethodsA 49-year-old woman who underwent total disc replacement at the L4-5 level presented with a postoperative complication of RPL. The imaging findings, clinical course, and treatment are discussed, and a review of literature is presented.ResultsThe patient presented with significant abdominal swelling and discomfort at 4 weeks after surgery without any signs or symptoms of infection. Investigations showed an RPL. She was treated by multiple aspirations under ultrasound guidance. At 12 months’ follow-up, the patient had no further abdominal symptoms and had gone back to her routine activities and work with significant improvement in back pain.ConclusionsRPL is an uncommon complication after anterior lumbar surgery and can be managed effectively if detected and diagnosed early. Although repeated aspiration is associated with high recurrence and infection, it is a safe and minimally invasive procedure to manage RPL.

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Revisionsstrategien bei ventralem Implantatversagen an der LWS am Beispiel von „stand-alone cages“

Tarhan

Rauschmann

2011

Orthopäde

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This article gives a review of the possible revision strategies after repeated operative treatment of degenerative spinal diseases using stand-alone cages. Own clinical experiences and reports from the literature were taken into consideration. Dorsal stabilization is the main consideration for all access routes even if it can be discussed, albeit controversially, whether ventral removal of an installed cage is justified, because this contains a significantly higher perioperative risk. The increased risk of neurological complications by dorsal revision and for vascular complications by ventral access, especially at the L4/5 level must be particularly considered. Clinical data and own experience have shown that in the majority of cases an additional dorsal stabilization should be favored for revision surgery. Currently large clinical studies which deal with the revision problematic of stand-alone cages with respect to the access route are still lacking.

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Lymphocele formation after anterior lumbar interbody fusion at L4–5

Cited by 14 publications

References 20 publications

Abdominal Lymphocele Following Anterior Lumbar Interbody Fusion: A Case Report

Abdominal Lymphocele Following Anterior Lumbar Interbody Fusion: A Case Report

Retroperitoneal lymphocele after lumbar total disc replacement: a case report and review of literature

Revisionsstrategien bei ventralem Implantatversagen an der LWS am Beispiel von „stand-alone cages“

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