Anterior lumbar spine exposure with vascular surgeon assistance

Objective:Evaluate access related complications contributing to adverse outcomes in patients undergoing retroperitoneal anterior lumbar interbody fusion (ALIF). MethodsA retrospective analysis was conducted of prospectively collected data on ALIF a multidisciplinary setting at our institution from January 2007 December 2021. Patients’ demographics, comorbidities, exposure and postoperative within 30 days were included. Main outcome measures included vascular visceral injuries requiring repair, nerve injuries, blood transfusion requirements, myocardial infarction, stroke, erectile dysfunction, retrograde ejaculation, length stay death. ResultsSeventy-four consecutive Forty-seven female 27 male. The median body mass index 25.46 ± 4.76. Mean age 45.74 years. Twelve had history previous abdominal surgery 31 spinal surgery. level operated L5/S1 58 (78.37%), L4/L5 2 (2.7%) multi-level 14 (18.91%). Sixteen both posterior approach. There no major intra-operative injuries. Two an intestine serosal tear. Seven sexual dysfunction after surgery, which 5 suffered impotence 4 ejaculation. both. cases disc space infections. deaths. ConclusionsIn setting, can be performed safely with reasonably low overall complication rate. Impotence ejaculation are, even if generally temporary, important issues that have informed the patient inquired follow up.