Lymphocele formation after anterior lumbar interbody fusion at L4–5

2007 ◽  
Vol 7 (5) ◽  
pp. 566-570 ◽  
Author(s):  
Yong Hun Pee ◽  
Ki Joon Kim ◽  
Young-Geun Choi ◽  
Sang Hyeop Jeon ◽  
Jong Dae Park ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Rare Complication ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Lumbar Spinal ◽  
Lower Lumbar

✓ In this report, the authors present the case of patient with a lymphocele in the retroperitoneal area following anterior lumbar interbody fusion at L4–5. A lymphocele is a rare complication of spinal operations, especially lower lumbar spinal surgeries. The authors discuss this complicating factor and describe its features and treatments.

Tapered cages in anterior lumbar interbody fusion: biomechanics of segmental reactions

2006 ◽  
Vol 5 (4) ◽  
pp. 330-335 ◽  
Author(s):  
Jason Moore ◽  
Narayan Yoganandan ◽  
Frank A. Pintar ◽  
Jason Lifshutz ◽  
Dennis J. Maiman
Keyword(s):  
Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Lateral Bending ◽  
Related Data ◽  
Flexion Extension ◽  
Before And After ◽  
Bending Modes ◽  
Lumbar Spinal

Object The aim of this study was to determine the in vitro biomechanical responses of lumbar spinal segments after implantation of tapered cages. Methods Range of motion (ROM)– and stiffness-related data were determined in 10 human cadaveric T12–S1 columns subjected to flexion, extension, and lateral bending modes before and after anterior lumbar interbody fusion in which stand-alone LT-CAGE devices were used. The overall column showed no significant changes in ROM or stiffness. At the instrumented level, stiffness increased significantly (p < 0.05) in flexion and lateral bending modes. Indications of instability in extension were present, but these values were not statistically significant. There was no evidence of adjacent-level instability at any level in any mode, except for the segment superior to the fixation level in flexion; here there was a significant increase in ROM (p < 0.05) and a decrease in stiffness. Conclusions The anatomical conformity and bilateral placement of cages provide ample stability and rigidity at the treated level, comparable to that of other cage systems. Because hypermobility is traditionally related to early degenerative changes, the present results appear to suggest that cages do not significantly contribute to such alterations.

scholarly journals Mini-open anterior lumbar interbody fusion

2016 ◽  
Vol 41 (videosuppl1) ◽  
pp. 1 ◽  
Author(s):  
Gurpreet S. Gandhoke ◽  
Christian Ricks ◽  
Zachary Tempel ◽  
Brian Zuckerbraun ◽  
D. Kojo Hamilton ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Pubic Symphysis ◽  
Anterior Lumbar Interbody Fusion ◽  
Sacral Slope ◽  
Lumbar Interbody Fusion ◽  
Disc Space ◽  
Lower Lumbar Spine ◽  
Great Vessels ◽  
Lower Lumbar ◽  
Mini Open

In deformity surgery, anterior lumbar interbody fusion provides excellent biomechanical support, creates a broad surface area for arthrodesis, and induces lordosis in the lower lumbar spine. Preoperative MRI, plain radiographs, and, when available, CT scan should be carefully assessed for sacral slope as it relates to pubic symphysis, position of the great vessels (especially at L4/5), disc space height, or contraindication to an anterior approach. This video demonstrates the steps in an anterior surgical procedure with minimal open exposure.The video can be found here: https://youtu.be/r3bC4_vu1hQ.

Anterior Retroperitoneal Spine Exposure

2020 ◽  
Author(s):  
Theodore H. Teruya ◽  
Ahmed M. Abou-Zamzam Jr
Keyword(s):  
Lumbar Spine ◽  
Key Words ◽  
General Surgery ◽  
Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
The Past ◽  
Surgical Exposure ◽  
Lower Lumbar ◽  
Total Disk Replacement

Anterior surgical exposure of the lumbar spine has been increasingly performed by general and vascular surgeons over the past decade. Owing to the predominance of spinal pathology at the lower lumbar levels and the spinal surgeons’ need for assistance, the “exposure surgeon” has emerged. The knowledge and expertise for performing the anterior exposures lie within general surgery. Manipulation of the ureter, aorta, and iliac vessels must be done with precision and is an excellent opportunity for surgeons to use their expertise to aid the spinal surgeon. This review covers the relevant aspects of anterior surgical exposure of the spine. This review contains 8 figures, and 39 references. Key words: anterior lumbar interbody fusion, anterior retroperitoneal spine exposure, extraperitoneal, retroperitoneal, spondylolisthesis, spondylosis, total disk replacement 

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