title: Retroperitoneal hematoma after using the extreme lateral interbody fusion (XLIF) approach: Presentation of a case and a review of the literature.
abstract: The transpsoas approach, also known as extreme lateral interbody fusion (XLIF), to the lumbar spine is a novel minimally invasive technique with positive clinical outcomes and a low complication rate. There is a low risk of bleeding, due to this approach causing less soft tissue disruption than traditional spine surgery, but segmental arteries and great vessels can be damaged. Retroperitoneal haematoma is a major complication, with few cases reported. This is the first case reported in a Stand-alone XLIF and also the first case reported with haemorrhagic shock. Non-specific symptoms such tachycardia, hypotension, and anaemia are the most prevalent in this complication. With this case, our aim is to describe serious complications related to XLIF.
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario Universitario Insular-Materno Infantil de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España. Electronic address: peigara@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Peiró-García
authors.affiliation: Unidad de Columna, Hospital Clínico San Carlos, Madrid, España.
authors.forename: I
authors.initials: I
authors.lastname: Domínguez-Esteban
authors.affiliation: Unidad de Columna, Hospital Clínico San Carlos, Madrid, España.
authors.forename: J
authors.initials: J
authors.lastname: Alía-Benítez
mesh_terms: D000368:Aged; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D019106:Postoperative Hemorrhage / Q000000981:diagnostic imaging*; D012187:Retroperitoneal Space; D013123:Spinal Fusion / Q000379:methods
keywords: Complicación; Complication; Extreme lateral interbody fusion; Hematoma retroperitoneal; Hematoma retroperitoneal tras fusión lumbar; Retroperitoneal haematoma; Transpsoas; XLIF