Abstract
Postoperative radiculopathy has previously been reported as a common complication of transforaminal lumbar interbody fusion (TLIF). However, no data has been published on lumbar plexopathy following TLIF. We present a rare case of lumbar plexopathy occurring following TLIF (L5-S1) in a patient with spondylolisthesis. Although initially a diagnostic challenge, sinister causes of neuropathy such as bleeding or neoplastic growths were excluded by imaging. A diagnosis of acute lumbar plexopathy of left L2 to L4 was eventually made after electromyographic studies was performed in consultation with a senior neurologist. The patient was treated supportively with good functional recovery.
Keywords
References
- Ellis H. Course and Distribution of Principal Nerves of The Lower Limb: The Lumbar Plexus. Clinical Anatomy 10th Edition. Blackwell Publishing; 2002. p. 269.
- Braddom RL, Spitz L, Rivner MH. Frequency of ra- diculopathies in motor vehicle accidents. Muscle Nerve. 2009;39:545-7.
- Ozkavukcu E, Cayli E, Yağci C, Erden I. Ruptured iliac aneurysm presenting as lumbosacral plexopathy. Diagn Interv Radiol 2008;14:26-8.
- Verma KK, Gushiken FC, Wu KK, Vriesendrop FJ, Di- machkie MM. Calf compartment syndrome and lumbar plexopathy following topical bovine thrombin-induced coagulopathy. J Clin Neuromuscul Dis 2001;2:139-41.
- Castaño-Duque CH, Escalante E, Domínguez J, Sancho C. Lumbosacral plexopathy as a form of presentation of iliac arterial aneurysm. [Article in Spanish] Rev Neurol 1999;29:1345-6. [Abstract]
- Silva EV, Resende MA, Pantoja A, Carvalho AB, Silva AB, Cardoso FA. Lumbar plexopathy after abdominal hys- terectomy: case report. [Article in Portuguese] Rev Bras Anestesiol 2006;56:643-8. [Abstract]
- Martín-Serradilla JI, Guerrero-Peral AL, Marcos-Al- varez R, Mohamed-Buskri A, Hernández-Carrero MT, Zatarain-Vázquez MT. Lumbar plexopathy secondary to pelvic hydatid cyst. [Article in Spanish] Rev Neurol 2002;34:944-9. [Abstract]
- Strub M, Fuhr P, Kappos L. Late manifestation of radia- tion injury to the plexus brachialis and plexus lumbosa- cralis. [Article in German] Schweiz Med Wochenschr Ta Taraf Sol Sol Sol Sol Sol Fib: F 2000;130:1407-12. [Abstract]
- Láinez JM, Yaya R, Lluch V, Casado I, Morera J, Sancho J. Lumbosacral plexopathy caused by aneurysms of the abdominal aorta. [Article in Spanish] Med Clin (Barc) 1989;92:462-4. [Abstract]
- Russell JW, Windebank AJ. Brachial and lumbar neuropa- thies. Baillieres Clin Neurol 1994;3:173-91.
- Rihn JA, Patel R, Makda J, Hong J, Anderson DG, Vaccaro AR, et al. Complications associated with single-level trans- foraminal lumbar interbody fusion. Spine J 2009;9:623-9.
- Villavicencio AT, Burneikiene S, Nelson EL, Bulsara KR, Favors M, Thramann J. Safety of transforaminal lumbar interbody fusion and intervertebral recombinant hu- man bone morphogenetic protein-2. J Neurosurg Spine 2005;3:436-43.
- Krishna M, Pollock RD, Bhatia C. Incidence, etiology, classification, and management of neuralgia after posterior lumbar interbody fusion surgery in 226 patients. Spine J 2008;8:374-9.
- Parsonage MJ, Turner JW. Neuralgic amyotrophy; the shoulder-girdle syndrome. Lancet 1948;16513:973-8.
Abstract
Radikülopatinin transforaminal lomber interbody füzyon (TLİF) cerrahisi sonrası yaygın görülen bir komplikasyon olduğu bilinmektedir. Bununla birlikte, TLİF sonrası lomber pleksopatiye dair bir bilgi literatürde yer almamaktadır. Çalışmamızda, spondilolistezisi olan bir hastada (L5-S1) TLİF sonrası ortaya çıkan nadir görülen bir lomber pleksopati olgusu sunuyoruz. Tanının konması başlangıçta güç olsa da, görüntüleme bulguları ile kanama ya da neoplastik oluşumlar gibi nöropatik nedenler değer¬lendirme dışı bırakıldı. Kıdemli bir nörologla konsülte edilerek uygulanan elektromiyografi sonrası sol L2-L4 arası akut lomber pleksopati tanısı konuldu. Hastaya fonksiyonel özelliklerini geri kazandıra¬cak destekli tedavi uygulandı.
References
- Ellis H. Course and Distribution of Principal Nerves of The Lower Limb: The Lumbar Plexus. Clinical Anatomy 10th Edition. Blackwell Publishing; 2002. p. 269.
- Braddom RL, Spitz L, Rivner MH. Frequency of ra- diculopathies in motor vehicle accidents. Muscle Nerve. 2009;39:545-7.
- Ozkavukcu E, Cayli E, Yağci C, Erden I. Ruptured iliac aneurysm presenting as lumbosacral plexopathy. Diagn Interv Radiol 2008;14:26-8.
- Verma KK, Gushiken FC, Wu KK, Vriesendrop FJ, Di- machkie MM. Calf compartment syndrome and lumbar plexopathy following topical bovine thrombin-induced coagulopathy. J Clin Neuromuscul Dis 2001;2:139-41.
- Castaño-Duque CH, Escalante E, Domínguez J, Sancho C. Lumbosacral plexopathy as a form of presentation of iliac arterial aneurysm. [Article in Spanish] Rev Neurol 1999;29:1345-6. [Abstract]
- Silva EV, Resende MA, Pantoja A, Carvalho AB, Silva AB, Cardoso FA. Lumbar plexopathy after abdominal hys- terectomy: case report. [Article in Portuguese] Rev Bras Anestesiol 2006;56:643-8. [Abstract]
- Martín-Serradilla JI, Guerrero-Peral AL, Marcos-Al- varez R, Mohamed-Buskri A, Hernández-Carrero MT, Zatarain-Vázquez MT. Lumbar plexopathy secondary to pelvic hydatid cyst. [Article in Spanish] Rev Neurol 2002;34:944-9. [Abstract]
- Strub M, Fuhr P, Kappos L. Late manifestation of radia- tion injury to the plexus brachialis and plexus lumbosa- cralis. [Article in German] Schweiz Med Wochenschr Ta Taraf Sol Sol Sol Sol Sol Fib: F 2000;130:1407-12. [Abstract]
- Láinez JM, Yaya R, Lluch V, Casado I, Morera J, Sancho J. Lumbosacral plexopathy caused by aneurysms of the abdominal aorta. [Article in Spanish] Med Clin (Barc) 1989;92:462-4. [Abstract]
- Russell JW, Windebank AJ. Brachial and lumbar neuropa- thies. Baillieres Clin Neurol 1994;3:173-91.
- Rihn JA, Patel R, Makda J, Hong J, Anderson DG, Vaccaro AR, et al. Complications associated with single-level trans- foraminal lumbar interbody fusion. Spine J 2009;9:623-9.
- Villavicencio AT, Burneikiene S, Nelson EL, Bulsara KR, Favors M, Thramann J. Safety of transforaminal lumbar interbody fusion and intervertebral recombinant hu- man bone morphogenetic protein-2. J Neurosurg Spine 2005;3:436-43.
- Krishna M, Pollock RD, Bhatia C. Incidence, etiology, classification, and management of neuralgia after posterior lumbar interbody fusion surgery in 226 patients. Spine J 2008;8:374-9.
- Parsonage MJ, Turner JW. Neuralgic amyotrophy; the shoulder-girdle syndrome. Lancet 1948;16513:973-8.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 19, 2015 |
| Published in Issue | Year 2015 Volume: 49 Issue: 1 |