Sexual Complications of Anterior Fusion of the Lumbar Spine

Flynn, Joseph C.; Price, Charles T.

doi:10.1097/00007632-198407000-00013

Cited by 166 publications

(74 citation statements)

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“…The fusion rate in the ALIF group cannot be conclusively proven. Anterior interbody fusion rates vary between 19% and 96%, depending on the method of evaluation, fixation technique, and graft material [4,13,15,18,20,22,26,28,30,33,38,42,47,51]. However, radiological trabecular continuity is difficult to see with the titanium implant, making it difficult to assess how many patients with a satisfactory clinical outcome do not have a bony fusion.…”

Section: Discussionmentioning

confidence: 99%

“…Several authors have described successful treatment with instrumented anterior and posterior lumbar interbody fusions (PLIF) [9,10,11,12,13]. PLIF offers several advantages [1,10,16,50,52].…”

Section: Introductionmentioning

confidence: 99%

“…However, the outcome may be disappointing if the disc itself is the cause of pain. Flynn and Hoque [13], Stauffer and Coventry [47], and Newman and Grinstead [38] have reported complications of graft extrusion, compression and instability contributing to pseudarthrosis associated with ALIF without instrumentation. The Hartshill horseshoe cage was designed to overcome these problems [33].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of instrumented anterior interbody fusion with instrumented circumferential lumbar fusion

Madan

Boeree

2003

European Spine Journal

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of instrumented anterior interbody fusion with instrumented circumferential lumbar fusion

Madan

Boeree

2003

European Spine Journal

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“…However, the outcome may be disappointing if the disc itself is the cause of pain. Flynn and Hoque [6], Stauffer and Coventry [26], and Newman and Grinstead [21] have reported complications of graft extrusion, compression and instability contributing to pseudarthrosis. The Hartshill horseshoe cage was designed to overcome these problems.…”

Section: Sanjeev Madan Nicholas R Boereementioning

confidence: 99%

Outcome of the Graf ligamentoplasty procedure compared with anterior lumbar interbody fusion with the Hartshill horseshoe cage

Madan¹,

Boeree²

2003

Eur Spine J

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“…Several studies have documented the complications of these surgical techniques [1,5,11,23,30]. The reported rates of complications in One of the authors (AAP) owns stock in Amedica (Salt Lake City, UT), Nocimed (Redwood City, CA), and Cytonics (Jupiter, FL); consults for Amedica, Biomet (Warsaw, IN), and Stryker Spine (Kalamazoo, MI); receives royalties from Amedica; and has received research funding from Stryker Spine through his institution.…”

Section: Introductionmentioning

confidence: 99%

Complications of the Lateral Transpsoas Approach for Lumbar Interbody Arthrodesis: A Case Series and Literature Review

Sofianos

Briseño

Abrams

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background The lateral transpsoas approach to the lumbar spine was developed to eliminate the need for an anterior-approach surgeon and retraction of the great vessels and has the potential for shorter operative times. However, the reported complications associated with this approach vary. Questions/purposes We identified the incidence of complications associated with the lateral transpsoas approach to the lumbar spine. Patients and Methods We retrospectively reviewed 45 patients who underwent a lateral transpsoas approach to the spine for various diagnoses between January 1, 2006, and October 31, 2010. The patients' average age was 63.3 years. Sixteen (35.6%) patients had prior lumbar spinal surgery.Twenty-one patients (46.7%) underwent supplemental posterior instrumentation. Minimum followup was 0 months (mean, 11 months; range, 0-34 months). Results Eighteen of the 45 patients (40%) had complications: 10 (22.2%) developed postoperative iliopsoas weakness, three had quadriceps weakness, and one experienced foot drop. Eight patients (17.8%) developed anterior thigh hypoesthesia, which did not fully resolve in seven of the eight patients at an average of 9 months' followup. Three patients had postoperative radiculopathies, one a durotomy, and one died postoperatively from a pulmonary embolism. Conclusions We found a 40% incidence of complications and a nontrivial frequency and severity of postoperative weakness, numbness, and radicular pain in patients who underwent a lateral transpsoas approach to the spine. Given the expanding use of the approach, a thorough understanding of the risks associated with it is essential for patient education, medical decision making, and identifying methods of reducing such complications.

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Sexual Complications of Anterior Fusion of the Lumbar Spine

Cited by 166 publications

References 0 publications

Comparison of instrumented anterior interbody fusion with instrumented circumferential lumbar fusion

Comparison of instrumented anterior interbody fusion with instrumented circumferential lumbar fusion

Outcome of the Graf ligamentoplasty procedure compared with anterior lumbar interbody fusion with the Hartshill horseshoe cage

Complications of the Lateral Transpsoas Approach for Lumbar Interbody Arthrodesis: A Case Series and Literature Review

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