Ureteral injury after anterior lumbar interbody fusion: A case report

Zekeriya U. Isiklar, Ronald Lindsey, Michael Coburn

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Study Design. This case report presents a patient with ureter injury after anterior spinal fusion and its management. Objectives. To present possible causes, symptoms, diagnostic approach, and management of this rare complication. Summary of Background Data. The reported complications of anterior surgical approaches to the lumbar spine have been predominantly vascular or neurologic. The susceptibility of the ureter to injury is emphasized by the description of an as-yet-unreported case of ureter laceration after anterior lumbar fusion. Methods. Ureter injury was diagnosed using computed axial tomography, ultrasonography-guided aspiration, and chemical analysis of the aspirate after anterior spinal fusion. Results. Early diagnosis of this injury prompted a ureter stent placement and prevented additional deterioration of renal function and infection. Conclusions. The ureter is prone to injury if not identified and protected when sharp and pointed instruments are used for retraction. Abdominal mass, low-grade fever, and leukocytosis should prompt use of computed tomography or ultrasonography-guided aspiration.

Original languageEnglish (US)
Pages (from-to)2379-2382
Number of pages4
JournalSpine
Volume21
Issue number20
DOIs
StatePublished - Oct 15 1996
Externally publishedYes

Fingerprint

Ureter
Wounds and Injuries
Spinal Fusion
Ultrasonography
Tomography
Lacerations
Leukocytosis
Nervous System
Stents
Blood Vessels
Early Diagnosis
Spine
Fever
Kidney
Infection

Keywords

  • anterior spinal fusion
  • diagnosis
  • treatment
  • ureter injury

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Ureteral injury after anterior lumbar interbody fusion : A case report. / Isiklar, Zekeriya U.; Lindsey, Ronald; Coburn, Michael.

In: Spine, Vol. 21, No. 20, 15.10.1996, p. 2379-2382.

Research output: Contribution to journalArticle

Isiklar, Zekeriya U. ; Lindsey, Ronald ; Coburn, Michael. / Ureteral injury after anterior lumbar interbody fusion : A case report. In: Spine. 1996 ; Vol. 21, No. 20. pp. 2379-2382.
@article{eddfed43963c4e75a20c7555ddccd0c0,
title = "Ureteral injury after anterior lumbar interbody fusion: A case report",
abstract = "Study Design. This case report presents a patient with ureter injury after anterior spinal fusion and its management. Objectives. To present possible causes, symptoms, diagnostic approach, and management of this rare complication. Summary of Background Data. The reported complications of anterior surgical approaches to the lumbar spine have been predominantly vascular or neurologic. The susceptibility of the ureter to injury is emphasized by the description of an as-yet-unreported case of ureter laceration after anterior lumbar fusion. Methods. Ureter injury was diagnosed using computed axial tomography, ultrasonography-guided aspiration, and chemical analysis of the aspirate after anterior spinal fusion. Results. Early diagnosis of this injury prompted a ureter stent placement and prevented additional deterioration of renal function and infection. Conclusions. The ureter is prone to injury if not identified and protected when sharp and pointed instruments are used for retraction. Abdominal mass, low-grade fever, and leukocytosis should prompt use of computed tomography or ultrasonography-guided aspiration.",
keywords = "anterior spinal fusion, diagnosis, treatment, ureter injury",
author = "Isiklar, {Zekeriya U.} and Ronald Lindsey and Michael Coburn",
year = "1996",
month = "10",
day = "15",
doi = "10.1097/00007632-199610150-00016",
language = "English (US)",
volume = "21",
pages = "2379--2382",
journal = "Spine",
issn = "0362-2436",
publisher = "Lippincott Williams and Wilkins",
number = "20",

}

TY - JOUR

T1 - Ureteral injury after anterior lumbar interbody fusion

T2 - A case report

AU - Isiklar, Zekeriya U.

AU - Lindsey, Ronald

AU - Coburn, Michael

PY - 1996/10/15

Y1 - 1996/10/15

N2 - Study Design. This case report presents a patient with ureter injury after anterior spinal fusion and its management. Objectives. To present possible causes, symptoms, diagnostic approach, and management of this rare complication. Summary of Background Data. The reported complications of anterior surgical approaches to the lumbar spine have been predominantly vascular or neurologic. The susceptibility of the ureter to injury is emphasized by the description of an as-yet-unreported case of ureter laceration after anterior lumbar fusion. Methods. Ureter injury was diagnosed using computed axial tomography, ultrasonography-guided aspiration, and chemical analysis of the aspirate after anterior spinal fusion. Results. Early diagnosis of this injury prompted a ureter stent placement and prevented additional deterioration of renal function and infection. Conclusions. The ureter is prone to injury if not identified and protected when sharp and pointed instruments are used for retraction. Abdominal mass, low-grade fever, and leukocytosis should prompt use of computed tomography or ultrasonography-guided aspiration.

AB - Study Design. This case report presents a patient with ureter injury after anterior spinal fusion and its management. Objectives. To present possible causes, symptoms, diagnostic approach, and management of this rare complication. Summary of Background Data. The reported complications of anterior surgical approaches to the lumbar spine have been predominantly vascular or neurologic. The susceptibility of the ureter to injury is emphasized by the description of an as-yet-unreported case of ureter laceration after anterior lumbar fusion. Methods. Ureter injury was diagnosed using computed axial tomography, ultrasonography-guided aspiration, and chemical analysis of the aspirate after anterior spinal fusion. Results. Early diagnosis of this injury prompted a ureter stent placement and prevented additional deterioration of renal function and infection. Conclusions. The ureter is prone to injury if not identified and protected when sharp and pointed instruments are used for retraction. Abdominal mass, low-grade fever, and leukocytosis should prompt use of computed tomography or ultrasonography-guided aspiration.

KW - anterior spinal fusion

KW - diagnosis

KW - treatment

KW - ureter injury

UR - http://www.scopus.com/inward/record.url?scp=0029853228&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029853228&partnerID=8YFLogxK

U2 - 10.1097/00007632-199610150-00016

DO - 10.1097/00007632-199610150-00016

M3 - Article

C2 - 8915076

AN - SCOPUS:0029853228

VL - 21

SP - 2379

EP - 2382

JO - Spine

JF - Spine

SN - 0362-2436

IS - 20

ER -