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

J Neurosurg Spine 2013 Jan 2;18(1):18-23. Epub 2012 Nov 2.

Department of Surgery, Cedars-Sinai Spine Center, Los Angeles, CA, USA.

Transpsoas 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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http://dx.doi.org/10.3171/2012.9.SPINE12659DOI Listing
January 2013
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