XXXX following artificial disc surgery: case report and review of the literature.

@entity1 @entity1931 @entity1337 @entity425 @entity51 @entity6866 @entity158
We report a case of type 1 complex regional @entity158 ( @entity6866 ) of the left leg following the implantation of an artificial disc type in the L4/5 segment of the lumbar spine using a midline left-sided retroperitoneal approach. This approach included the mobilisation of the sympathetic trunk with incision and resection of the intervertebral disc. The perioperative and immediate postoperative periods were uneventful, but on the second postoperative day the @entity1 complained of a progressive @entity1931 of the whole left leg in combination with @entity425 of the limb. Neurological examination did not reveal any @entity51 or paresis. A sympathetic reaction following the mobilisation of the sympathetic trunk during the ventral preparation of the spine was suspected and investigated further. A diagnosis of @entity6866 was proposed, and the @entity1 was treated with @entity1337 , co-analgesics for @entity158 alienation, and systemic corticosteroid therapy. A computed tomography-guided sympathetic block and lymphatic drainage were performed. Following conservative orthopaedic rehabilitation therapy, the degree of @entity158 , @entity1931 , @entity425 , and swelling were reduced and the condition of the @entity1 was ameliorated. The cost-benefit ratio of spinal arthroplasty is still controversial. The utility of this paper is to debate a possible cause of a @entity158 , which can invalidate the results of a successful operation.
