XXXX and @entity810 following minimally invasive spine surgery: report of 5 cases.

@entity1 @entity28 @entity190 @entity908 @entity5925 @entity810 @entity1011
Minimally invasive spine surgery is increasingly used to treat various spinal pathologies with the goal of minimizing destruction of the surrounding tissues. @entity5925 ( @entity5925 ) is a rare but known complication of spine surgery, and @entity810 ( @entity810 ) is in turn a potential complication of severe @entity5925 . The authors report the first known case series of @entity5925 and @entity810 following minimally invasive lateral spine surgery. The authors retrospectively reviewed data in all consecutive @entity1 who underwent a minimally invasive lateral transpsoas approach for interbody fusion with the subsequent development of @entity5925 and @entity810 at 2 institutions between 2006 and 2009. Demographic variables, @entity1 home medications, preoperative laboratory values, and anesthetic used during the procedure were reviewed. All @entity1 data were recorded including the operative procedure, @entity1 positioning, postoperative hospital course, operative time, @entity190 , @entity908 phosphokinase (CPK), @entity1011 , duration of hospital stay, and complications. Five of 315 consecutive @entity1 were identified with @entity5925 and @entity810 after undergoing minimally invasive lateral transpsoas spine surgery. There were 4 @entity1 and 1 @entity1 with a mean age of 66 years (range 60-71 years). The mean body mass index was 31 kg/m2 and ranged from 25 to 40 kg/m2. Nineteen interbody levels had been fused, with a range of 3-6 levels per @entity1 . The mean operative time was 420 minutes and ranged from 315 to 600 minutes. The CPK ranged from 5000 to 56,000 U/L, with a mean of 25,861 U/L. Two of the 5 @entity1 required temporary hemodialysis, while 3 required only aggressive fluid resuscitation. The mean duration of the hospital stay was 12 days, with a range of 3-25 days. @entity5925 is a rare but known potential complication of spine surgery. The authors describe the first case series associated with the minimally invasive lateral approach. Surgeons must be aware of the possibility of postoperative @entity5925 and @entity810 , particularly in morbidly @entity28 @entity1 and in procedures associated with prolonged operative times.
