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首页> 外文期刊>Neurosurgical focus >Abdominal wall paresis as a complication of minimally invasive lateral transpsoas interbody fusion
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Abdominal wall paresis as a complication of minimally invasive lateral transpsoas interbody fusion

机译：腹壁轻瘫是微创侧入骨经椎体间融合的并发症

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Object: The minimally invasive lateral transpsoas approach for interbody fusion has been increasingly employed to treat various spinal pathological entities. Gaining access to the retroperitoneal space and traversing the abdominal wall poses a risk of injury to the major nervous structures. Nerve injury of the abdominal wall can potentially lead to paresis of the abdominal musculature and bulging of the abdominal wall. Abdominal wall nerve injury resulting from the minimally invasive lateral retroperitoneal transpsoas approach has not been previously reported. The authors describe a case series of patients presenting with paresis and bulging of the abdominal wall after undergoing a minimally invasive lateral retroperitoneal approach. Methods: The authors retrospectively reviewed all patients who underwent a minimally invasive lateral transpsoas approach for interbody fusion and in whom development of abdominal paresis developed; the patients were treated at 4 institutions between 2006 and 2010. All data were recorded including demographics, diagnosis, operative procedure, positioning, hospital course, follow-up, and complications. The onset, as well as resolution of the abdominal paresis, was reviewed. Results: The authors identified 10 consecutive patients in whom abdominal paresis developed after minimally invasive lateral transpsoas spine surgery out of a total of 568 patients. Twenty-nine interbody levels were fused (range 1-4 levels/patient). There were 4 men and 6 women whose mean age was 54.1 years (range 37-66 years). All patients presented with abdominal paresis 2-6 weeks postoperatively. In 8 of the 10 patients, abdominal wall paresis had resolved by the 6-month follow-up visit. Two patients only had 1 and 4 months of follow-up. No long-term sequelae were identified. Conclusions: Abdominal wall paresis is a rare but known potential complication of abdominal surgery. The authors report the first case series associated with the minimally invasive lateral transpsoas approach.
机译：目的：用于椎体间融合的微创外侧穿刺方法已越来越多地用于治疗各种脊柱病理实体。进入腹膜后间隙并横穿腹壁会造成主要神经结构受伤的风险。腹壁神经损伤可能会导致腹肌肌肉麻痹和腹壁膨出。先前尚未见到由微创性腹膜后腹膜后入路入路引起的腹壁神经损伤。作者描述了一系列病例，这些患者在经历微创性腹膜后腹膜入路后出现轻瘫和腹壁膨出。方法：作者回顾性回顾了所有采用微创侧入椎体入路椎体间融合术且腹部麻痹发展的患者。该患者于2006年至2010年期间在4个机构接受了治疗。所有数据均被记录，包括人口统计学，诊断，手术步骤，位置，医院病程，随访情况和并发症。回顾了腹部麻痹的发作和消退。结果：作者共鉴定了568例患者中的10例，这些患者在进行微创性横穿横贯脊柱脊柱手术后出现腹壁麻痹。融合了29个椎间抗体水平（每位患者1-4个水平）。男4例，女6例，平均年龄54.1岁（范围37-66岁）。术后2-6周所有患者均出现腹部轻瘫。在10例患者中的8例中，经过6个月的随访，腹壁麻痹已解决。两名患者仅接受了1和4个月的随访。未发现长期后遗症。结论：腹壁麻痹是一种罕见但已知的腹部手术潜在并发症。作者报告了第一例与微创外侧横渡方法相关的病例。

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