• J Neurosurg Spine · Jan 2013

    Case Reports

    Urological injury as a complication of the transpsoas approach for discectomy and interbody fusion.

    • Neel Anand and Eli M Baron.
    • Department of Surgery, Cedars-Sinai Spine Center, Los Angeles, CA, USA. neel.anand@cshs.org
    • J Neurosurg Spine. 2013 Jan 1;18(1):18-23.

    AbstractTranspsoas discectomy and interbody fusion has become an increasingly popular method of achieving lumbar interbody fusion, but reports of neurological, vascular, and gastrointestinal complications associated with this procedure have been described in the literature. To date, however, ureteral complications have not been reported with this procedure. The authors report 2 cases of ureteral injury and 1 case of renal injury following this procedure. A low index of suspicion is warranted to work up any patient having flank or abdominal symptoms after undergoing transpsoas discectomy and interbody fusion.

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