Research progress of ureteral injury in oblique lumbar interbody fusion_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHAO Long ,  ZENG Jiancheng , YANG Zhiqiang , WANG Chaoyang

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;

Corresponding author：

ZENG Jiancheng, Email: tomzeng5@163.com

Keywords：

Oblique lumbar interbody fusion; ureteral injury; complication; diagnosis; treatment

DOI：

10.7507/1002-1892.202001087

Video：

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Objective To summarize the research progress of ureteral injury in oblique lumbar interbody fusion (OLIF).Methods The literature about incidence, clinical manifestations, diagnosis, and treatment of ureteral injury complications in OLIF was reviewed.Results OLIF surgery poses a risk of ureteral injury because its surgical approach is anatomically adjacent to the left ureter. Ureteral injuries in OLIF are often insidious and have no specific clinical manifestations. CT urography is a common diagnostic method. The treatment of ureteral injury depends on a variety of factors such as the time of diagnosis, the location and degree of injury, and the treatment methods range from endoscopic treatment to replacement reconstruction.Conclusion Surgeons should pay attention not to damage the ureter and find the abnormality in time during OLIF. High vigilance of abnormalities is conducive to the early diagnosis of ureteral injury. Furthermore, it is important to be familiar with ureter anatomy and gentle operation to prevent ureteral injury.

Citation： ZHAO Long, ZENG Jiancheng, YANG Zhiqiang, WANG Chaoyang. Research progress of ureteral injury in oblique lumbar interbody fusion. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(11): 1474-1477. doi: 10.7507/1002-1892.202001087 Copy

1.	Capener N. Spondylolisthesis. Br J Surg, 1932, 19(75): 374-386.
2.	Chiriano J, Abou-Zamzam AM Jr, Urayeneza O, et al. The role of the vascular surgeon in anterior retroperitoneal spine exposure: preservation of open surgical training. J Vasc Surg, 2009, 50(1): 148-151.
3.	Mayer HM. A new microsurgical technique for minimally invasive anterior lumbar interbody fusion. Spine (Phila Pa 1976), 1997, 22(6): 691-699.
4.	Ozgur BM, Aryan HE, Pimenta L, et al. Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J, 2006, 6(4): 435-443.
5.	Salzmann SN, Shue J, Hughes AP. Lateral lumbar interbody fusion-outcomes and complications. Curr Rev Musculoskelet Med, 2017, 10(4): 539-546.
6.	Silvestre C, Mac-Thiong JM, Hilmi R, et al. Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lumbar interbody fusion in 179 patients. Asian Spine J, 2012, 6(2): 89-97.
7.	Mobbs RJ, Phan K, Malham G, et al. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. J Spine Surg, 2015, 1(1): 2-18.
8.	Quillo-Olvera J, Lin GX, Jo HJ, et al. Complications on minimally invasive oblique lumbar interbody fusion at L2-L5 levels: a review of the literature and surgical strategies. Ann Transl Med, 2018, 6(6): 101.
9.	Zeng ZY, Xu ZW, He DW, et al. Complications and prevention strategies of oblique lateral interbody fusion technique. Orthop Surg, 2018, 10(2): 98-106.
10.	Esparaz AM, Pearl JA, Herts BR, et al. Iatrogenic urinary tract injuries: etiology, diagnosis, and management. Semin Intervent Radiol, 2015, 32(2): 195-208.
11.	Omidi-Kashani F, Mousavi SM. Total ureteral avulsion leading to early nephrectomy as a rare complication of simple lumbar discectomy; a case report. SICOT J, 2015, 1: 30.
12.	Voin V, Kirkpatrick C, Alonso F, et al. Lateral transpsoas approach to the lumbar spine and relationship of the ureter: anatomic study with application to minimizing complications. World Neurosurg, 2017, 104: 674-678.
13.	Xiao L, Xu Z, Liu C, et al. Anatomic relationship between ureter and oblique lateral interbody fusion access: analysis based on contrast-enhanced computed tomographic urography. World Neurosurg, 2019, 123: e717-e722.
14.	Fujibayashi S, Otsuki B, Kimura H, et al. Preoperative assessment of the ureter with dual-phase contrast-enhanced computed tomography for lateral lumbar interbody fusion procedures. J Orthop Sci, 2017, 22(3): 420-424.
15.	Julian Li JX, Mobbs RJ, Phan K. Morphometric MRI imaging study of the corridor for the oblique lumbar interbody fusion technique at L1-L5. World Neurosurg, 2018, 111: e678-e685.
16.	Ouchida J, Kanemura T, Satake K, et al. Anatomic evaluation of retroperitoneal organs for lateral approach surgery: a prospective imaging study using computed tomography in the lateral decubitus position. Eur Spine J, 2019, 28(4): 835-841.
17.	Burks FN, Santucci RA. Management of iatrogenic ureteral injury. Ther Adv Urol, 2014, 6(3): 115-124.
18.	Hajiha M, Sowerby RJ, Pace KT. A rare ureteral injury following posterior approach lumbar discectomy. J Endourol Case Rep, 2017, 3(1): 158-161.
19.	Tsai PJ, Wang HYJ, Lin YS, et al. Laparoscopic ureteral repair for iatrogenic ureteral injury following lumbar disc surgery. Formosan Journal of Surgery, 2013, 46(6): 217-220.
20.	Bjurlin MA, Rousseau LA, Vidal PP, et al. Iatrogenic ureteral injury secondary to a thoracolumbar lateral revision instrumentation and fusion. Spine J, 2009, 9(6): e13-e15.
21.	Guingrich JA, McDermott JC. Ureteral injury during laparoscopy-assisted anterior lumbar fusion. Spine (Phila Pa 1976), 2000, 25(12): 1586-1588.
22.	Escobar E, Transfeldt E, Garvey T, et al. Video-assisted versus open anterior lumbar spine fusion surgery: a comparison of four techniques and complications in 135 patients. Spine (Phila Pa 1976), 2003, 28(7): 729-732.
23.	Gumbs AA, Shah RV, Yue JJ, et al. The open anterior paramedian retroperitoneal approach for spine procedures. Arch Surg, 2005, 140(4): 339-343.
24.	Schwender JD, Casnellie MT, Perra JH, et al. Perioperative complications in revision anterior lumbar spine surgery: incidence and risk factors. Spine (Phila Pa 1976), 2009, 34(1): 87-90.
25.	Flouzat-Lachaniette CH, Delblond W, Poignard A, et al. Analysis of intraoperative difficulties and management of operative complications in revision anterior exposure of the lumbar spine: a report of 25 consecutive cases. Eur Spine J, 2013, 22(4): 766-774.
26.	Van Valkenburg S, Trussell JC, Lavelle WF. Retroperitoneal fluid collection following anterior spine surgery—differential and management. Can J Urol, 2016, 23(2): 8243-8246.
27.	Abe K, Orita S, Mannoji C, et al. Perioperative complications in 155 patients who underwent oblique lateral interbody fusion surgery: perspectives and indications from a retrospective, multicenter survey. Spine (Phila Pa 1976), 2017, 42(1): 55-62.
28.	Fujibayashi S, Kawakami N, Asazuma T, et al. Complications associated with lateral interbody fusion: nationwide survey of 2 998 cases during the first 2 years of its use in Japan. Spine (Phila Pa 1976), 2017, 42(19): 1478-1484.
29.	Jin C, Jaiswal MS, Jeun SS, et al. Outcomes of oblique lateral interbody fusion for degenerative lumbar disease in patients under or over 65 years of age. J Orthop Surg Res, 2018, 13(1): 38.
30.	Kubota G, Orita S, Umimura T, et al. Insidious intraoperative ureteral injury as a complication in oblique lumbar interbody fusion surgery: a case report. BMC Res Notes, 2017, 10(1): 193.
31.	Lee HJ, Kim JS, Ryu KS, et al. Ureter injury as a complication of oblique lumbar interbody fusion. World Neurosurg, 2017, 102: 693.
32.	Yoon SG, Kim MS, Kwon SC, et al. Delayed ureter stricture and kidney atrophy after oblique lumbar interbody fusion. World Neurosurg, 2020, 134: 137-140.
33.	Meirow D, Moriel EZ, Zilberman M, et al. Evaluation and treatment of iatrogenic ureteral injuries during obstetric and gynecologic operations for nonmalignant conditions. J Am Coll Surg, 1994, 178(2): 144-148.
34.	Garg N, Panwar P, Devana SK, et al. Ureteric injury after lumbosacral microdiscectomy: A case report and review of literature. Urol Ann, 2017, 9(2): 200-203.
35.	Hekal IA, Mohsen T, Nabeeh A. Ureteric injury after lumbosacral discectomy: a case report and review of the literature. J Trauma, 2008, 64(5): 1387-1391.
36.	Abboudi H, Ahmed K, Royle J, et al. Ureteric injury: a challenging condition to diagnose and manage. Nat Rev Urol, 2013, 10(2): 108-115.
37.	Cho KT, Im SH, Hong SK. Ureteral injury after inadvertent violation of the intertransverse space during posterior lumbar diskectomy: a case report. Surg Neurol, 2008, 69(2): 135-137.
38.	熊盛炜, 杨昆霖, 丁光璞, 等. 输尿管损伤外科修复治疗的研究进展. 北京大学学报 (医学版), 2019, 51(4): 783-788.
39.	Brandes S, Coburn M, Armenakas N, et al. Diagnosis and management of ureteric injury: an evidence-based analysis. BJU Int, 2004, 94(3): 277-289.
40.	Smith TG 3rd, Coburn M. Damage control maneuvers for urologic trauma. Urol Clin North Am, 2013, 40(3): 343-350.

1. Capener N. Spondylolisthesis. Br J Surg, 1932, 19(75): 374-386.
2. Chiriano J, Abou-Zamzam AM Jr, Urayeneza O, et al. The role of the vascular surgeon in anterior retroperitoneal spine exposure: preservation of open surgical training. J Vasc Surg, 2009, 50(1): 148-151.
3. Mayer HM. A new microsurgical technique for minimally invasive anterior lumbar interbody fusion. Spine (Phila Pa 1976), 1997, 22(6): 691-699.
4. Ozgur BM, Aryan HE, Pimenta L, et al. Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J, 2006, 6(4): 435-443.
5. Salzmann SN, Shue J, Hughes AP. Lateral lumbar interbody fusion-outcomes and complications. Curr Rev Musculoskelet Med, 2017, 10(4): 539-546.
6. Silvestre C, Mac-Thiong JM, Hilmi R, et al. Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lumbar interbody fusion in 179 patients. Asian Spine J, 2012, 6(2): 89-97.
7. Mobbs RJ, Phan K, Malham G, et al. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. J Spine Surg, 2015, 1(1): 2-18.
8. Quillo-Olvera J, Lin GX, Jo HJ, et al. Complications on minimally invasive oblique lumbar interbody fusion at L2-L5 levels: a review of the literature and surgical strategies. Ann Transl Med, 2018, 6(6): 101.
9. Zeng ZY, Xu ZW, He DW, et al. Complications and prevention strategies of oblique lateral interbody fusion technique. Orthop Surg, 2018, 10(2): 98-106.
10. Esparaz AM, Pearl JA, Herts BR, et al. Iatrogenic urinary tract injuries: etiology, diagnosis, and management. Semin Intervent Radiol, 2015, 32(2): 195-208.
11. Omidi-Kashani F, Mousavi SM. Total ureteral avulsion leading to early nephrectomy as a rare complication of simple lumbar discectomy; a case report. SICOT J, 2015, 1: 30.
12. Voin V, Kirkpatrick C, Alonso F, et al. Lateral transpsoas approach to the lumbar spine and relationship of the ureter: anatomic study with application to minimizing complications. World Neurosurg, 2017, 104: 674-678.
13. Xiao L, Xu Z, Liu C, et al. Anatomic relationship between ureter and oblique lateral interbody fusion access: analysis based on contrast-enhanced computed tomographic urography. World Neurosurg, 2019, 123: e717-e722.
14. Fujibayashi S, Otsuki B, Kimura H, et al. Preoperative assessment of the ureter with dual-phase contrast-enhanced computed tomography for lateral lumbar interbody fusion procedures. J Orthop Sci, 2017, 22(3): 420-424.
15. Julian Li JX, Mobbs RJ, Phan K. Morphometric MRI imaging study of the corridor for the oblique lumbar interbody fusion technique at L1-L5. World Neurosurg, 2018, 111: e678-e685.
16. Ouchida J, Kanemura T, Satake K, et al. Anatomic evaluation of retroperitoneal organs for lateral approach surgery: a prospective imaging study using computed tomography in the lateral decubitus position. Eur Spine J, 2019, 28(4): 835-841.
17. Burks FN, Santucci RA. Management of iatrogenic ureteral injury. Ther Adv Urol, 2014, 6(3): 115-124.
18. Hajiha M, Sowerby RJ, Pace KT. A rare ureteral injury following posterior approach lumbar discectomy. J Endourol Case Rep, 2017, 3(1): 158-161.
19. Tsai PJ, Wang HYJ, Lin YS, et al. Laparoscopic ureteral repair for iatrogenic ureteral injury following lumbar disc surgery. Formosan Journal of Surgery, 2013, 46(6): 217-220.
20. Bjurlin MA, Rousseau LA, Vidal PP, et al. Iatrogenic ureteral injury secondary to a thoracolumbar lateral revision instrumentation and fusion. Spine J, 2009, 9(6): e13-e15.
21. Guingrich JA, McDermott JC. Ureteral injury during laparoscopy-assisted anterior lumbar fusion. Spine (Phila Pa 1976), 2000, 25(12): 1586-1588.
22. Escobar E, Transfeldt E, Garvey T, et al. Video-assisted versus open anterior lumbar spine fusion surgery: a comparison of four techniques and complications in 135 patients. Spine (Phila Pa 1976), 2003, 28(7): 729-732.
23. Gumbs AA, Shah RV, Yue JJ, et al. The open anterior paramedian retroperitoneal approach for spine procedures. Arch Surg, 2005, 140(4): 339-343.
24. Schwender JD, Casnellie MT, Perra JH, et al. Perioperative complications in revision anterior lumbar spine surgery: incidence and risk factors. Spine (Phila Pa 1976), 2009, 34(1): 87-90.
25. Flouzat-Lachaniette CH, Delblond W, Poignard A, et al. Analysis of intraoperative difficulties and management of operative complications in revision anterior exposure of the lumbar spine: a report of 25 consecutive cases. Eur Spine J, 2013, 22(4): 766-774.
26. Van Valkenburg S, Trussell JC, Lavelle WF. Retroperitoneal fluid collection following anterior spine surgery—differential and management. Can J Urol, 2016, 23(2): 8243-8246.
27. Abe K, Orita S, Mannoji C, et al. Perioperative complications in 155 patients who underwent oblique lateral interbody fusion surgery: perspectives and indications from a retrospective, multicenter survey. Spine (Phila Pa 1976), 2017, 42(1): 55-62.
28. Fujibayashi S, Kawakami N, Asazuma T, et al. Complications associated with lateral interbody fusion: nationwide survey of 2 998 cases during the first 2 years of its use in Japan. Spine (Phila Pa 1976), 2017, 42(19): 1478-1484.
29. Jin C, Jaiswal MS, Jeun SS, et al. Outcomes of oblique lateral interbody fusion for degenerative lumbar disease in patients under or over 65 years of age. J Orthop Surg Res, 2018, 13(1): 38.
30. Kubota G, Orita S, Umimura T, et al. Insidious intraoperative ureteral injury as a complication in oblique lumbar interbody fusion surgery: a case report. BMC Res Notes, 2017, 10(1): 193.
31. Lee HJ, Kim JS, Ryu KS, et al. Ureter injury as a complication of oblique lumbar interbody fusion. World Neurosurg, 2017, 102: 693.
32. Yoon SG, Kim MS, Kwon SC, et al. Delayed ureter stricture and kidney atrophy after oblique lumbar interbody fusion. World Neurosurg, 2020, 134: 137-140.
33. Meirow D, Moriel EZ, Zilberman M, et al. Evaluation and treatment of iatrogenic ureteral injuries during obstetric and gynecologic operations for nonmalignant conditions. J Am Coll Surg, 1994, 178(2): 144-148.
34. Garg N, Panwar P, Devana SK, et al. Ureteric injury after lumbosacral microdiscectomy: A case report and review of literature. Urol Ann, 2017, 9(2): 200-203.
35. Hekal IA, Mohsen T, Nabeeh A. Ureteric injury after lumbosacral discectomy: a case report and review of the literature. J Trauma, 2008, 64(5): 1387-1391.
36. Abboudi H, Ahmed K, Royle J, et al. Ureteric injury: a challenging condition to diagnose and manage. Nat Rev Urol, 2013, 10(2): 108-115.
37. Cho KT, Im SH, Hong SK. Ureteral injury after inadvertent violation of the intertransverse space during posterior lumbar diskectomy: a case report. Surg Neurol, 2008, 69(2): 135-137.
38. 熊盛炜, 杨昆霖, 丁光璞, 等. 输尿管损伤外科修复治疗的研究进展. 北京大学学报 (医学版), 2019, 51(4): 783-788.
39. Brandes S, Coburn M, Armenakas N, et al. Diagnosis and management of ureteric injury: an evidence-based analysis. BJU Int, 2004, 94(3): 277-289.
40. Smith TG 3rd, Coburn M. Damage control maneuvers for urologic trauma. Urol Clin North Am, 2013, 40(3): 343-350.

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