Retroperitoneal fibrosis after anterior spinal fusion.
Three patients with lumbar anterior spinal fusion (two with Dwyer instrumentation) developed retroperitoneal fibrosis in relation to the operative site. This complication is possibly a reaction to the retroperitoneal insult. Haematoma, low-grade infection and metallic implant are other likely contributory factors. Its occurrence is affected by the laterality of surgical approach and extent of dissection. Radiologists should be aware of such a complication when investigating post-fusion patients. Early diagnosis and treatment prevent further renal damage.
D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D011859:Radiography; D012185:Retroperitoneal Fibrosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013123:Spinal Fusion / Q000009:adverse effects*; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D014552:Urinary Tract Infections / Q000209:etiology