{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:50Z","timestamp":1787755790787,"version":"build-2784847793"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 57-year-old woman with lumbar scoliosis underwent L4-S1 anterior lumbar interbody fusion by retroperitoneal approach. A computed tomography scan performed on postoperative day seven showed a retroperitoneal fluid collection (15 \u00d7 10 \u00d7 19 cm). After excluding haemorrhagic, urinary, infectious, lymphatic and cerebrospinal origin, it was diagnosed as a transudate. It persisted for 72 days with an output of 32 liters. It was finally resolved by open surgery using sclerosing agents. A posterior T11 pelvic fusion was subsequently performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This is a unique case of a retroperitoneal transudate draining 32 liters requiring surgical resolution. We highlight the differential diagnosis workup.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00099","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T18:01:14Z","timestamp":1756404074000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Retroperitoneal Fluid Collection Following Lumbar Anterior Approach in Adult Scoliosis"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6524-6296","authenticated-orcid":false,"given":"Blanca Diez","family":"S\u00e1nchez","sequence":"first","affiliation":[{"name":"Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4341-1335","authenticated-orcid":false,"given":"Fernando Gonz\u00e1lez","family":"G\u00f3mez","sequence":"additional","affiliation":[{"name":"Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6909-8348","authenticated-orcid":false,"given":"Jorge","family":"de Ram\u00f3n Su\u00e1rez","sequence":"additional","affiliation":[{"name":"Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9866-5344","authenticated-orcid":false,"given":"Fernando","family":"Esc\u00e1mez","sequence":"additional","affiliation":[{"name":"Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6199-1264","authenticated-orcid":false,"given":"Gloria Talavera","family":"Buedo","sequence":"additional","affiliation":[{"name":"Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7394-9637","authenticated-orcid":false,"given":"Javier","family":"Pizones","sequence":"additional","affiliation":[{"name":"Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7]]},"reference":[{"issue":"3","key":"bib1-20250828","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/j.spinee.2023.10.003","article-title":"Primary anterior lumbar interbody fusion, with and without posterior instrumentation: a 1,377-patient cohort from a multicenter spine registry","volume":"24","author":"Laiwalla","year":"2024","journal-title":"Spine J."},{"issue":"5","key":"bib2-20250828","doi-asserted-by":"crossref","first-page":"E192","DOI":"10.1097\/BSD.0000000000001566","article-title":"Pedicle subtraction osteotomy versus multilevel anterior lumbar interbody fusion and lateral lumbar interbody fusion in the treatment of adult spinal deformity: trends, outcomes, and cost","volume":"37","author":"Chi","year":"2024","journal-title":"Clin Spine Surg."},{"issue":"1","key":"bib3-20250828","first-page":"2","article-title":"Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF\/ATP, LLIF and ALIF","volume":"1","author":"Mobbs","year":"2015","journal-title":"J Spine Surg."},{"issue":"4","key":"bib4-20250828","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/2011.7.FOCUS11141","article-title":"Complication avoidance and management in anterior lumbar interbody fusion","volume":"31","author":"Than","year":"2011","journal-title":"Neurosurg Focus."},{"issue":"1","key":"bib5-20250828","doi-asserted-by":"crossref","first-page":"31","DOI":"10.21037\/jss.2017.03.09","article-title":"Impact of surgical approach on complication rates after elective spinal fusion (\u22653 levels) for adult spine deformity","volume":"3","author":"Elsamadicy","year":"2017","journal-title":"J Spine Surg."},{"issue":"11","key":"bib6-20250828","doi-asserted-by":"crossref","first-page":"2991","DOI":"10.1007\/s00701-021-05000-0","article-title":"Is there a variance in complication types associated with ALIF approaches? 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