Complicaciones asociadas a la artrodesis intersomática lumbar por vía lateral. Revisión narrativa de la bibliografía

• Matías Pereira Duarte ^[1]
  1. [1] Hospital Italiano de Buenos Aires

     Hospital Italiano de Buenos Aires

     Argentina

     
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 89, Nº. 1, 2024 (Ejemplar dedicado a: Sociedad Argentina de Patología de la Columna Vertebral), págs. 76-82
• Idioma: español
• DOI: 10.15417/issn.1852-7434.2024.89.1.1861
• Títulos paralelos:
  • Complications of Lateral Lumbar Interbody Fusion (XLIF). narrative Literature Review
• Enlaces
  • Texto completo  1    2  
• Resumen
  • español

    Introducción: El abordaje lateral de la columna lumbar en la artrodesis intersomática está descrito para tratar varias enfermedades. Si bien es un procedimiento seguro, a medida que la técnica ha ganado popularidad, se han publicado diversas complicaciones asociadas. El objetivo de este artículo es presentar una revisión narrativa de la bibliografía para proveer al lector de un resumen organizado de las complicaciones comunicadas más frecuentes relacionadas con esta técnica.

    Materiales y Métodos: Se llevó a cabo una revisión narrativa de la bibliografía obtenida en las bases de datos PubMed, Web of Science, Scopus y LILACS para identificar artículos que detallen complicaciones relacionadas con el abordaje lateral de la columna lumbar.

    Resultados: Luego del análisis de los resultados de la búsqueda bibliográfica, se seleccionaron 18 artículos para esta revisión.

    Conclusiones: Las complicaciones más frecuentes directamente relacionadas con este abordaje son la cruralgia y el déficit motor para la flexión de la cadera o la extensión de la pierna que, en su gran mayoría, son transitorias y reversibles. Hay escasos reportes de lesiones vasculares severas o fatales.

  • English

    Introduction:The lateral approach for lumbar interbody fusion has been described for the treatment of diverse pathologies. Al-though it is a safe procedure, its popularity has led to an increase in reports of complications associated with it. The objective of this work is to conduct a narrative review of the literature on the most frequently reported complications associated with this surgi-cal approach.materials and methods:We performed a narrative review of the literature based on the publications obtained from the following databases: PubMed.gov, Web of Science, Scopus and Lilacs to identify published articles that detail complications related to the lateral approach to the lumbar spine.Results:After analyzing the results of the bibliographic search, 18 articles were selected to carry out this review.Conclusions:The most frequent complications directly related to this approach are thigh pain and motor deficit for hip flexion and/or leg extension, which are mostly temporary and reversible. Severe or fatal vascular injuries have rarely been reported.

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