{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T15:23:44Z","timestamp":1794324224472,"version":"4.9.0"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p>The authors report a case of entero-paraspinous fistula 2 years after T-12 corpectomy and instrumentation for spinal metastasis from renal cell carcinoma. The pathogenesis in the present case seems to have arisen from local recurrence of T-12 metastatic carcinoma in spite of radiation and corpectomy. As a result of previous nephrectomy and anterolateral dissection for the T-12 corpectomy, the jejunum adhered to the surgical site. Recurrent tumor at T-12 invaded the adherent small bowel loop, resulting in a fistulous communication between the small bowel lumen and the spinal wound. Loss of retroperitoneal fat, scarring, and adhesions from previous surgeries contributed to this complication by having the jejunum close to the T-12 corpectomy site, and eventually to its invasion by recurrent tumor. Avoidance of such a complication is difficult; however, total excision of the spinal malignancy, and when possible, creating a barrier cuff of fascia or fat around the spine to protect abdominal contents, are potential solutions.<\/jats:p>","DOI":"10.3171\/2014.10.spine14294","type":"journal-article","created":{"date-parts":[[2014,11,14]],"date-time":"2014-11-14T12:04:25Z","timestamp":1415966665000},"page":"60-63","source":"Crossref","is-referenced-by-count":2,"title":["Entero-paraspinous fistula from recurrent spinal metastatic renal cell carcinoma"],"prefix":"10.3171","volume":"22","author":[{"given":"Ambur","family":"Reddy","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick W.","family":"Hitchon","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami","family":"Al-Nafi","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kent","family":"Choi","sequence":"additional","affiliation":[{"name":"Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-spine14294","series-title":"Can J Gastroenterol","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1155\/2008\/893757","article-title":"Spinal epidural abscess\u2014a rare complication of inflammatory bowel disease","volume":"22","author":"Brown","year":"2008"},{"key":"b2-spine14294","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1016\/j.wneu.2010.01.024","article-title":"Early complications related to approach in thoracic and lumbar spine surgery: a single center prospective study","volume":"73","author":"Campbell","year":"2010"},{"key":"b3-spine14294","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1592","DOI":"10.1097\/00007632-199507150-00007","article-title":"The surgical and medical perioperative complications of anterior spinal fusion surgery in the thoracic and lumbar spine in adults. 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