Table 1. Complications reported in the literature.
Author | Type of study | Sample size (patients) | Complications reported (N = patients) | Follow-up (months) |
---|---|---|---|---|
Mayer (5) 1997 | Prospective | 20 | NR | 10.4 |
Kaiser et al., (33) 2002 | Retrospective | 51 | Iliac vein laceration =2, dural tea r=1, transient ileus =5, retroperitoneal hematoma =1, worsening radiculopathy =1, urinary tract infection =1, wound infection =1, retrograde ejaculation =17 | NR |
Saraph et al., (38) 2004 | Retrospective | 23 | Vascular injuries =2, paralytic ileus =2, superficial wound infection =1, sympathetic dysfunction =2, lateral femoral cutaneous nerve injury =1 | 66 |
Patel et al., (39) 2010 | Retrospective | 23 | Lateral wall denervation =1, sympathectomy effect =1, transient intercostal neuralgia =1, transient male sexual dysfunction =1, symptomatic pseudarthrosis =1 | 56.4 |
Silvestre et al., (1) 2012 | Retrospective | 179 | Incisional pain =4, sympathetic chain injury =3, neurological deficit =2, Iliac vein laceration =1, Iliac vein laceration and bilateral deep venous thrombosis =1, Iliolumbar vein laceration =1, peritoneal laceration =1, postoperative peripheral ischemia in lower extremities =1, transient psoas paresis =1, transient groin numbness =1, pseudarthrosis =1, minor complications =3 | 11.2 |
Hynes (40) 2014 | Retrospective | 186 | Groin and anterior thigh numbness =30, psoas weakness =12, vascular injury =2 | 14 |
Fujibayashi et al., (32) 2015 | Prospective | 28 | Hip flexor weakness =2, thigh pain/numbness =6, resolved 3 months after surgery | 15 |
Ohtori et al., (37) 2015 | Prospective | 35 | Cage subsidence =1, quadriceps weakness =1, thigh pain =1, thigh numbness =3, segmental artery injury =1 | 7 |
Ohtori et al., (7) 2015 | Prospective | 12 | Cage subsidence =1, thigh pain =1, thigh numbness =2 | 14.5 |
Molloy et al., (41) 2016 | Prospective | 64 | Transient motor electrophysiology deficits =3, revision procedure =3, wound complications =2, CSF leak =4, ileus =8, pulmonary embolism =3, catheter =3 | 21.6 |
Kim et al., (34) 2016 | Prospective | 29 | Cage subsidence =8/37 levels, lumbar plexopathy =4, sympathetic chain injury =4 | 24 |
Gragnaniello et al., (42) 2016 | NR | 21 | Weakness of hip flexion =2, EHL weakness =1, lateral cutaneous nerve palsy =2, sympathetic chain symptoms =1, psoas abscess =1 | 8.57 |
Mehren et al., (11) 2016 | Retrospective | 812 | Infection =5, hematoma =11, paralytic ileus =2, iliac vein injury =2, aortic injury =1, irritation of the ilioinguinal and genitofemoral nerve =1, irritation of the lumbar plexus =2 | NR |
Sato et al., (43) 2017 | Prospective | 20 | Cage subsidence =2, thigh pain =1, thigh numbness =1, segmental artery injury =1 | 12 |
Woods et al., (9) 2017* | Retrospective | 137 | Cage subsidence =4.4, postoperative ileus =2.9, vascular injury =2.9, blood transfusion =1.5, retrograde ejaculation =0.7, superior mesenteric arterial syndrome =0.7 | 6 |
Jin et al., (6) 2017 | Retrospective | 21 | Leg paresthesia =2, local hematoma =1, abdominal ileus =4 | NR |
Abe et al., (10) 2017 | Retrospective | 155 | Spinal nerve injury =1, cauda equina injury =1, transient thigh pain/numbness, psoas weakness =21, endplate injury =29, segmental artery damage =4, other vessels =2, ureteral injury =1, pleural laceration =2, peritoneal laceration =3, breakage of the LIF cage =2, surgical instrument failure =2, surgical site infection =3, reoperation =3, postoperative death =1 | NR |
Fujibayashi et al., (12) 2017 | Retrospective | 1003 | Sensory nerve injury =35, psoas weakness =30, vertebral body fracture =22, motor nerve injury =10, anterior longitudinal ligament rupture =6, surgical site infection =4, pleural laceration =5, segmental artery injury =7, peritoneum laceration =8, cage malpositioning =3, retroperitoneal hematoma =3, ureteral injury =3, abdominal wall hernia =2, ileus =1, major vascular injury =1, posterior conversion =1 | NR |
Chang et al., (35) 2017 | Case report | 1 | Ventral dural injury =1 | 24 |
Lee et al., (36) 2017 | Case report | 1 | Ureter injury =1 | 2 |
*, complications reported as (%). NR, not reported; EHL, extensor halluces longus muscle; CSF, cerebrospinal fluid.