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Guillain-Barré syndrome after elective lateral lumbar interbody fusion – Lumbar Fusion

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The article discusses complications that can occur following lateral retroperitoneal transpsoas lumbar fusion (LLIF) surgery, including Guillain-Barré syndrome (GBS). GBS is an autoimmune inflammatory condition that usually occurs after an infection but can also occur post-operatively. The case report presented a 56-year-old patient who developed GBS after elective lumbar fusion through the LLIF approach. The patient experienced weakness in the left lower extremity and was treated with intravenous immunoglobulin (IVIG), which led to gradual improvement. The article recommends that cerebrospinal fluid analysis and electromyography should be included in the diagnostic workup for patients presenting with lower extremity neuropathy following LLIF surgery

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Published article

Complications following lateral retroperitoneal transpsoas lumbar fusion (LLIF) surgery include femoral nerve apraxia, bowel/bladder injury, ureteral injury, and potentially, as illustrated in this case report, Guillain-Barré syndrome. Guillain-Barré syndrome (GBS) is an autoimmune inflammatory condition that typically presents after infection, or, less frequently, post-operatively. We report a case of GBS following elective lumbar fusion through the lateral retroperitoneal transpsoas approach…

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Folia Med (Plovdiv). 2023 Oct 31;65(5):839-843. doi: 10.3897/folmed.65.e93659.ABSTRACTComplications following lateral retroperitoneal transpsoas lumbar fusion (LLIF) surgery include femoral nerve apraxia, bowel/bladder injury, ureteral injury, and potentially, as illustrated in this case report, Guillain-Barré syndrome. Guillain-Barré syndrome (GBS) is an autoimmune inflammatory condition that typically presents after infection, or, less frequently, post-operatively. We report a case,

Folia Med (Plovdiv). 2023 Oct 31;65(5):839-843. doi: 10.3897/folmed.65.e93659.

ABSTRACT

Complications following lateral retroperitoneal transpsoas lumbar fusion (LLIF) surgery include femoral nerve apraxia, bowel/bladder injury, ureteral injury, and potentially, as illustrated in this case report, Guillain-Barré syndrome. Guillain-Barré syndrome (GBS) is an autoimmune inflammatory condition that typically presents after infection, or, less frequently, post-operatively. We report a case of GBS following elective lumbar fusion through the lateral retroperitoneal transpsoas approach (LLIF). A 56-year-old patient presented with left lower extremity (LLE) weakness on post-operative day 12. EMG showed bilateral upper extremity muscle recruitment, worse distally. Following a treatment with intravenous immunoglobulin (IVIG), the patient gradually improved, and her condition was favorable at 6-month post-operative follow-up. CSF analysis and EMG should be part of the workup for patients presenting with lower extremity neuropathy following LLIF.

PMID:38351769 | DOI:10.3897/folmed.65.e93659

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Guillain-Barré syndrome after elective lateral lumbar interbody fusion

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Folia Med (Plovdiv). 2023 Oct 31;65(5):839-843. doi: 10.3897/folmed.65.e93659.ABSTRACTComplications following lateral retroperitoneal transpsoas lumbar fusion (LLIF) surgery include femoral nerve apraxia, bowel/bladder injury, ureteral injury, and potentially, as illustrated in this case report, Guillain-Barré syndrome. Guillain-Barré syndrome (GBS) is an autoimmune inflammatory condition that typically presents after infection, or, less frequently, post-operatively. We report a case
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