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Feasibility of Multilevel Anterior Lumbar Interbody Fusion in a Patient With an Intrapelvic Kidney: A Case Report – Lumbar Fusion

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The article presented a case study of a 64-year-old woman with loss of lumbar lordosis and an intrapelvic kidney with aberrant vasculature. Despite the anatomical challenges, a 2-level anterior lumbar interbody fusion with a 2-level oblique interbody fusion was successfully performed without damaging the pelvic kidney. The case highlights the importance of recognizing and navigating anatomical variations during surgical procedures, showing that multilevel anterior interbody cage placement can be safely achieved in complex anatomical situations. This case study provides valuable insights for surgeons facing similar challenges in their practice

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced spinal centre in UK

Published article

: Anatomic variations, both congenital and acquired, can pose significant challenges to surgeons during their dissection. We present a case where multilevel anterior interbody cage placement can be safely performed, even in a patient whose anatomy is complicated by an intrapelvic kidney.

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JBJS Case Connect. 2024 Jun 13;14(2). doi: 10.2106/JBJS.CC.23.00637. eCollection 2024 Apr 1. ABSTRACT CASE: We present a 64-year-old woman with loss of lumbar lordosis with a preoperative computed tomography scan demonstrating the presence of an intrapelvic kidney with aberrant vasculature. A 2-level anterior lumbar interbody fusion with a 2-level oblique interbody fusion was planned. An,

JBJS Case Connect. 2024 Jun 13;14(2). doi: 10.2106/JBJS.CC.23.00637. eCollection 2024 Apr 1.

ABSTRACT

CASE: We present a 64-year-old woman with loss of lumbar lordosis with a preoperative computed tomography scan demonstrating the presence of an intrapelvic kidney with aberrant vasculature. A 2-level anterior lumbar interbody fusion with a 2-level oblique interbody fusion was planned. An anterior approach was successfully used to access the anterior spine without damaging the pelvic kidney.

: Anatomic variations, both congenital and acquired, can pose significant challenges to surgeons during their dissection. We present a case where multilevel anterior interbody cage placement can be safely performed, even in a patient whose anatomy is complicated by an intrapelvic kidney.

PMID:38870326 | DOI:10.2106/JBJS.CC.23.00637

The London Spine Unit : most advanced spinal centre in UK

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Feasibility of Multilevel Anterior Lumbar Interbody Fusion in a Patient With an Intrapelvic Kidney: A Case Report

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JBJS Case Connect. 2024 Jun 13;14(2). doi: 10.2106/JBJS.CC.23.00637. eCollection 2024 Apr 1. ABSTRACT CASE: We present a 64-year-old woman with loss of lumbar lordosis with a preoperative computed tomography scan demonstrating the presence of an intrapelvic kidney with aberrant vasculature. A 2-level anterior lumbar interbody fusion with a 2-level oblique interbody fusion was planned. An

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