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Intraoperative complications of anterior lumbar interbody fusion: a 5-Year experience of a group of spine surgeons performing their own approaches

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dc.contributor.authorLindado Pacheco, Carlos Alberto
dc.contributor.authorDevia, Diego Armando
dc.contributor.authorGutiérrez Maldonado, Santiago
dc.contributor.authorPatiño, Sergio Iván
dc.contributor.authorOcampo Navia, Maria Isabel
dc.contributor.authorBerbeo Calderón, Miguel Enrique
dc.contributor.authorDiaz, Roberto Carlos
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Neurociencias. Neurocirugíaspa
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Otorrinolaringología
dc.contributor.javerianateacherGutiérrez Maldonado, Santiago
dc.contributor.javerianateacherBerbeo Calderón, Miguel Enrique
dc.contributor.javerianateacherDiaz, Roberto Carlos
dc.coverage.cityBogotá (Colombia)spa
dc.coverage.spatialColombiaspa
dc.coverage.temporal2014-2018
dc.date.accessioned2023-03-14T13:23:37Z
dc.date.available2023-03-14T13:23:37Z
dc.date.created2022-04-21
dc.description.abstractenglishBackground: spine surgery has evolved at an accelerated pace, allowing the development of more efficient surgical techniques while providing a decreasing rate of morbimortality. One example of these approaches is the anterior lumbar interbody fusion (ALIF). The aim of this study was to evaluate the surgical complication rate when performing ALIF without the help of a vascular “access” surgeon. Methods: A retrospective descriptive study was conducted at the Hospital Universitario San Ignacio between 2014 and 2018 and included all patients who underwent ALIF during this time. A nonsystematic review was performed assessing approach-related complications in ALIF and the impact of “access” surgeons in surgical outcomes. Results: A total of 337 patients were included and 508 levels were fused. ALIF was performed as ALIF-360° (27%), ALIF-lateral lumbar interbody fusion (LLIF) (8.9%), and stand-alone ALIF (62%). Most procedures were single-level fusions (51.9%), 45.4% involved 2 levels, and 2.6% were 3-level fusions. The mortality rate was 0%, and only 9 cases of vascular injury were observed and described. Left and common iliac veins were the predominant affected structures. Only a single case required blood transfusion without any other treatment or intensive care unit surveillance. Conclusions: Our study is consistent with literature reports about ALIF complications, finding an incidence of 1.7%. Therefore, ALIF is an excellent alternative for spine procedures, especially for the levels L5-S1 that require sagittal balance restoration. The approaches were performed without a vascular “access” surgeon and presented complication rates similar to those described in the literature.spa
dc.description.comunidadPacientes sometidos a cirugía de fusión intersomática lumbar anteriorspa
dc.description.esciNospa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.orcidhttps://orcid.org/0000-0003-3702-6477spa
dc.description.orcidhttps://orcid.org/0000-0001-8440-2442spa
dc.description.orcidhttps://orcid.org/0000-0001-6094-6074spa
dc.description.orcidhttps://orcid.org/0000-0003-1148-7523spa
dc.description.orcidhttps://orcid.org/0000-0001-9087-1392spa
dc.description.publindexA2spa
dc.description.quartilescopusQ2spa
dc.description.quartilewosQ3spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://www.ijssurgery.com/content/16/4/714spa
dc.identifier.doihttps://doi.org/10.14444/8299spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn2211-4599spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/63747
dc.language.isoengspa
dc.relation.citationendpage719spa
dc.relation.citationissue4spa
dc.relation.citationstartpage714spa
dc.relation.citationvolume16spa
dc.relation.ispartofjournalInternational Journal of Spine Surgeryspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordAnterior lumbar interbody fusionspa
dc.subject.keywordALIFspa
dc.subject.keywordComplicationsspa
dc.subject.keywordVascular injuryspa
dc.subject.keywordAccess surgeonspa
dc.titleIntraoperative complications of anterior lumbar interbody fusion: a 5-Year experience of a group of spine surgeons performing their own approachesspa
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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