Delayed lymphocele formation following lateral lumbar interbody fusion of the backbone.
Eur Backbone J. 2017 Could;26(Suppl 1):36-41
Authors: Hey HWD, Wong KL, Gatam AR, Lim JL, Wong HK
PURPOSE: This paper goals to explain the uncommon post-operative complication of a lymphocele formation after lateral lumbar interbody fusion.
METHODS: The affected person on this case was a 76-year-old woman with a 10 yr historical past of low again ache and neurogenic claudication. She had beforehand underwent a number of backbone surgical procedures for her situation. She introduced to our establishment for a recurrence of her low again ache and proper anterior thigh ache. She then underwent surgical procedure in two levels; first, a mini-open lateral interbody fusion at L3/four and L4/5; second, posterior instrumentation of T3 to S1 with sagittal spinal deformity correction.
RESULTS: The affected person recovered uneventfully within the preliminary put up op interval and was discharged inside eight days. Nonetheless, she developed stomach distension and discomfort 6 months after surgical procedure. MRI and CT scan of her stomach confirmed a retroperitoneal fluid assortment compressing her left ureter, leading to hydroureter and hydronephrosis. She was managed with a CT-guided drainage of the fluid assortment. Fluid evaluation was per a lymphocele. Because the process, the affected person has been asymptomatic for two years.
CONCLUSIONS: Delayed lymphocele formation is a possible complication of lateral lumbar interbody fusion. When current, it may be managed conservatively with good outcomes. This case means that surgeons ought to have a low threshold to research for a lymphocele improvement post-anterior or lateral lumbar backbone surgical procedure. The authors advocate the position of a put up surgical retroperitoneal drain, as it’d help within the early detection of a lymphocele formation.
PMID: 27349755 [PubMed – indexed for MEDLINE]