Hematoma retroperitoneal tras fusión lumbar intersomática mediante abordaje lateral transpsoas (XLIF): revisión de literatura a propósito de un caso / Retroperitoneal hematoma after using the extreme lateral interbody fusion (XLIF) approach: presentation of a case and a review of the literature

El abordaje lateral transpsoas a la columna lumbar es una técnica mínimamente invasiva cada vez más usada debido a sus buenos resultados y a su tasa de complicaciones baja. El sangrado de este tipo de cirugía es escaso ya que la disección de partes blandas es mínima comparada con la cirugía vertebral tradicional, pero las arterias segmentarias y los grandes vasos pueden ser lesionados. Hasta ahora, hay muy pocos casos descritos de hematoma retroperitoneal mediante este abordaje pero este es el primero en una fusión lumbar intersomática mediante abordaje lateral transpsoas (XLIF) sin instrumentación añadida y el primero con shock hemorrágico. Los síntomas del hematoma retroperitoneal son inespecíficos, siendo los más prevalentes la taquicardia, la hipotensión y la anemia. Con este caso pretendemos mostrar que, a pesar de los buenos resultados de esta técnica, no está exenta de complicaciones graves (AU)

The transpsoas approach, also known as extreme lateral interbody fusion (XLIF), to the lumbar spine is a novel minimally invasive technique with positive clinical outcomes and a low complication rate. There is a low risk of bleeding, due to this approach causing less soft tissue disruption than traditional spine surgery, but segmental arteries and great vessels can be damaged. Retroperitoneal haematoma is a major complication, with few cases reported. This is the first case reported in a Stand-alone XLIF and also the first case reported with haemorrhagic shock. Non-specific symptoms such tachycardia, hypotension, and anaemia are the most prevalent in this complication. With this case, our aim is to describe serious complications related to XLIF (AU)

Retroperitoneal hematoma after using the extreme lateral interbody fusion (XLIF) approach: Presentation of a case and a review of the literature. / Hematoma retroperitoneal tras fusión lumbar intersomática mediante abordaje lateral transpsoas (XLIF): revisión de literatura a propósito de un caso.

The transpsoas approach, also known as extreme lateral interbody fusion (XLIF), to the lumbar spine is a novel minimally invasive technique with positive clinical outcomes and a low complication rate. There is a low risk of bleeding, due to this approach causing less soft tissue disruption than traditional spine surgery, but segmental arteries and great vessels can be damaged. Retroperitoneal haematoma is a major complication, with few cases reported. This is the first case reported in a Stand-alone XLIF and also the first case reported with haemorrhagic shock. Non-specific symptoms such tachycardia, hypotension, and anaemia are the most prevalent in this complication. With this case, our aim is to describe serious complications related to XLIF.