Complicaciones asociadas a la artrodesis intersomática lumbar por vía lateral. Revisión narrativa de la bibliografía

  • Matías Pereira Duarte Sector Patología del Raquis del Adulto, Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina http://orcid.org/0000-0001-5652-2631
Palabras clave: Artrodesis lateral, cirugía de columna, complicaciones, XLIF, LLIF, abordaje lateral de columna lumbar

Resumen

Introducción: El abordaje lateral de la columna lumbar en la artrodesis intersomática está descrito para tratar varias enfermedades. Si bien es un procedimiento seguro, a medida que la técnica ha ganado popularidad, se han publicado diversas complicaciones asociadas. El objetivo de este artículo es presentar una revisión narrativa de la bibliografía para proveer al lector de un resumen organizado de las complicaciones comunicadas más frecuentes relacionadas con esta técnica. Materiales y Métodos: Se llevó a cabo una revisión narrativa de la bibliografía obtenida en las bases de datos PubMed, Web of Science, Scopus y LILACS para identificar artículos que detallen complicaciones relacionadas con el abordaje lateral de la columna lumbar. Resultados: Luego del análisis de los resultados de la búsqueda bibliográfica, se seleccionaron 18 artículos para esta revisión. Conclusiones: Las complicaciones más frecuentes directamente relacionadas con este abordaje son la cruralgia y el déficit motor para la flexión de la cadera o la extensión de la pierna que, en su gran mayoría, son transitorias y reversibles. Hay escasos reportes de lesiones vasculares severas o fatales.

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Biografía del autor/a

Matías Pereira Duarte, Sector Patología del Raquis del Adulto, Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Universidad Nacional de Rosario. Residencia del Hospital Italiano de Buenos Aires. Jefatura de Residentes,  Hospital Italiano de Buenos Aires. Fellowship en Patología Espinal del Adulto,  Hospital Italiano de Buenos Aires (2 años). Actualmente Spine Fellowship Univesité de Montreal, Canadá. Chairman. Dr. Mac-Thiong, Dr. Parent.

Citas

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Publicado
2024-02-15
Cómo citar
Pereira Duarte, M. (2024). Complicaciones asociadas a la artrodesis intersomática lumbar por vía lateral. Revisión narrativa de la bibliografía. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(1), 76-82. https://doi.org/10.15417/issn.1852-7434.2024.89.1.1861
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