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. 2016 Jun 1;9(3):290–298. doi: 10.1007/s12178-016-9350-y

Table 2.

Neurological complications of anterior and lateral lumbar surgery

Structure Clinical Finding Incidence (%) Recovery
Anteriora Superior hypogastric plexus Retrograde ejaculation 1.7–6 Partial to full in 33 % at 1–2 years
Lumbar sympathetic trunk Hyperthermia of ipsilateral lower extremity 4–10 Partial to full recovery in 76 %
Nerve root Radicular pain 4 Partial to full recovery in 75 %
Lateralb Psoas muscle Hip flexion weakness 1.6–54 Full recovery expected
Femoral nerve
 Motor Leg extension and hip flexion weakness 1.4–24 Motor:
Partial recovery in 100 %, complete recovery in 33–100 %
 Sensory Thigh and leg numbness 10–83 Sensory:
Partial to full recovery in 67–90 %
Individual nerve root Sensory loss 1–24 Partial to full recovery in 10 to 75 %
Motor weakness 3–17
Thoracoabdominal nerve Abdominal wall bulge 2.8–4.2 Partial to full recovery in 50 %

aAnterior approach performed via retroperitoneal approach

bLateral approach reflects retroperitoneal transpsoas exposure