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Thoracolumbar Deformity MIS (Palsy) Surgery Complication

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Spinal Deformity

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Abstract

Minimally invasive surgical (MIS) techniques have become increasingly popular methods of treating spinal pathologies. Spinal surgeons once trained in traditional open approaches must now familiarize themselves with the complication profile associated with these less invasive techniques. Quadriceps palsy is recognized as a possible adverse event following lateral lumbar interbody fusion (LLIF). The complication occurs due to neurological insults incurred during dissection of the psoas, a muscle that houses key elements of the lumbosacral plexus. Quadriceps palsy is associated with significant morbidity and delayed recovery postoperatively. The chapter gives a brief overview of adult spinal deformity (ASD) including management strategies for treating the disorder. A case of quadriceps palsy is presented in a patient that underwent multilevel LLIF for treatment of ASD. Quadriceps palsy is described in depth including possible causes, presentation in the literature, and common management strategies. Finally, the chapter provides general recommendations for avoiding quadriceps palsy in ASD cases.

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Author information

Authors and Affiliations

  1. Department of Surgery, Cedars-Sinai Spine Center, 444 S. San Vicente Blvd. Suite 800, Los Angeles, CA, 90048, USA

    Neel Anand

  2. Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY, 10461, USA

    Jason E. Cohen

  3. Boston University School of Medicine, 72 E Concord St, Boston, MA, 02118, USA

    Ryan B. Cohen

Authors
  1. Neel Anand
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  2. Jason E. Cohen
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  3. Ryan B. Cohen
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Corresponding author

Correspondence to Neel Anand .

Editor information

Editors and Affiliations

  1. Joan O’Reilly Endowed Professor in Spinal Surgery, Vice Chairman, Department of Neurosurgery, University of California, San Francisco, California, USA

    Praveen V. Mummaneni

  2. Professor, Director of Spinal Surgery, Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA

    Paul Park

  3. University of Louisville, Norton Leatherman Spine Center, Louisville, Kentucky, USA

    Charles H. Crawford III

  4. Chief, Division of Spine Surgery, Associate Professor of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

    Adam S. Kanter

  5. Department of Orthopedic Surgery, University of Louisville, Norton Leatherman Spine Center, Louisville, Kentucky, USA

    Steven D. Glassman

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Anand, N., Cohen, J.E., Cohen, R.B. (2018). Thoracolumbar Deformity MIS (Palsy) Surgery Complication. In: Mummaneni, P., Park, P., Crawford III, C., Kanter, A., Glassman, S. (eds) Spinal Deformity . Springer, Cham. https://doi.org/10.1007/978-3-319-60083-3_22

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  • DOI: https://doi.org/10.1007/978-3-319-60083-3_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60082-6

  • Online ISBN: 978-3-319-60083-3

  • eBook Packages: MedicineMedicine (R0)

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