{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T15:23:28Z","timestamp":1794324208507,"version":"4.9.0"},"reference-count":21,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:p>Extreme lateral interbody fusion (XLIF) has gained popularity among spine surgeons for treating multiple conditions of the lumbar spine. In contrast to the anterior lumbar interbody fusion (ALIF) approach, the minimally invasive XLIF approach affords wide access to the lumbar disc space without an access surgeon and causes minimal tissue disruption. The XLIF approach offers many advantages over other lumbar spine approaches, with a reportedly low complication profile. The authors describe the first fatality reported in the literature following an XLIF approach. They describe the case of a 50-year-old woman who suffered a fatal intraoperative injury to the great vessels during a lateral transpsoas approach to the L4\u20135 disc space.<\/jats:p>","DOI":"10.3171\/2014.7.spine131146","type":"journal-article","created":{"date-parts":[[2014,9,5]],"date-time":"2014-09-05T10:01:08Z","timestamp":1409911268000},"page":"794-798","source":"Crossref","is-referenced-by-count":89,"title":["First report of major vascular injury due to lateral transpsoas approach leading to fatality"],"prefix":"10.3171","volume":"21","author":[{"given":"Rachid","family":"Assina","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil J.","family":"Majmundar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yehuda","family":"Herschman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F.","family":"Heary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"Suppl 3","key":"b1-spine131146","series-title":"Surg Neurol Int","doi-asserted-by":"publisher","first-page":"S198","DOI":"10.4103\/2152-7806.98583","article-title":"The lateral transpsoas approach to the lumbar and thoracic spine: a review","volume":"3","author":"Arnold","year":"2012"},{"key":"b2-spine131146","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2227","DOI":"10.1097\/00007632-199311000-00014","article-title":"Vascular injury in anterior lumbar surgery","volume":"18","author":"Baker","year":"1993"},{"key":"b3-spine131146","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"139","DOI":"10.3171\/2008.10.SPI08479","article-title":"An anatomical study of the lumbosacral plexus as related to the minimally invasive transpsoas approach to the lumbar spine. Laboratory investigation","volume":"10","author":"Benglis","year":"2009"},{"key":"b4-spine131146","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1016\/S1529-9430(02)00184-5","article-title":"Mini-open approach to the spine for anterior lumbar interbody fusion: description of the procedure, results and complications","volume":"2","author":"Brau","year":"2002"},{"key":"b5-spine131146","series-title":"Int Orthop","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1007\/s002640050145","article-title":"Retrograde ejaculation after retroperitoneal lower lumbar interbody fusion","volume":"21","author":"Christensen","year":"1997"},{"issue":"3","key":"b6-spine131146","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E8","DOI":"10.3171\/2010.1.FOCUS09282","article-title":"Early outcomes and safety of the minimally invasive, lateral retroperitoneal transpsoas approach for adult degenerative scoliosis","volume":"28","author":"Dakwar","year":"2010"},{"key":"b7-spine131146","series-title":"SAS J","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/j.esas.2010.03.004","article-title":"Editorial. Value and cost in less invasive spinal fusion surgery: lessons from a community hospital","volume":"4","author":"Deluzio","year":"2010"},{"key":"b8-spine131146","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1097\/00007632-198407000-00013","article-title":"Sexual complications of anterior fusion of the lumbar spine","volume":"9","author":"Flynn","year":"1984"},{"key":"b9-spine131146","series-title":"Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub","doi-asserted-by":"publisher","first-page":"127","DOI":"10.5507\/bp.2012.079","article-title":"A comparison of complication rate between anterior and lateral approaches to the lumbar spine","volume":"158","author":"Hrabalek","year":"2014"},{"key":"b10-spine131146","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1007\/s00586-010-1609-1","article-title":"An MRI study of psoas major and abdominal large vessels with respect to the X\/DLIF approach","volume":"20","author":"Hu","year":"2011"},{"key":"b11-spine131146","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1097\/01.BRS.0000049226.87064.3B","article-title":"An anatomic study of the lumbar plexus with respect to retroperitoneal endoscopic surgery","volume":"28","author":"Moro","year":"2003"},{"key":"b12-spine131146","series-title":"WScJ","first-page":"19","article-title":"The use of rh-BMP2 in standalone eXtreme Lateral Interbody Fusion (XLIF\u00ae): clinical and radiological results after 24 months follow-up","volume":"1","author":"Oliveira","year":"2010"},{"key":"b13-spine131146","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1016\/j.spinee.2005.08.012","article-title":"Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion","volume":"6","author":"Ozgur","year":"2006"},{"key":"b14-spine131146","series-title":"Surg Laparosc Endosc","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1097\/00019509-199612000-00009","article-title":"Laparoscopic fusion of the lumbar spine in a multicenter series of the first 34 consecutive patients","volume":"6","author":"Regan","year":"1996"},{"key":"b15-spine131146","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1330","DOI":"10.1097\/BRS.0b013e3181a029e1","article-title":"Morphometric analysis of the ventral nerve roots and retroperitoneal vessels with respect to the minimally invasive lateral approach in normal and deformed spines","volume":"34","author":"Regev","year":"2009"},{"key":"b16-spine131146","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1406","DOI":"10.1097\/BRS.0b013e3181c20fb5","article-title":"Incidence and prevention of intervertebral cage overhang with minimally invasive lateral approach fusions","volume":"35","author":"Regev","year":"2010"},{"key":"b17-spine131146","series-title":"US Musculoskeletal Review","first-page":"28","article-title":"Experience and early results with a minimally invasive technique for anterior column support through eXtreme Lateral Interbody Fusion: XLIF","volume":"2","author":"Rodgers","year":"2007"},{"key":"b18-spine131146","series-title":"Vasc Endovascular Surg","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1177\/1538574410374655","article-title":"Endovascular embolization of iatrogenic lumbar artery pseudoaneurysm following extreme lateral interbody fusion (XLIF)","volume":"44","author":"Santillan","year":"2010"},{"issue":"324","key":"b19-spine131146","series-title":"Clin Orthop Relat Res","first-page":"153","article-title":"Anterior interbody lumbar fusion in severe low back pain","author":"Tiusanen","year":"1996"},{"key":"b20-spine131146","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"260","DOI":"10.3171\/2010.3.SPINE09766","article-title":"Defining the safe working zones using the minimally invasive lateral retroperitoneal transpsoas approach: an anatomical study. Laboratory investigation","volume":"13","author":"Uribe","year":"2010"},{"key":"b21-spine131146","series-title":"Am J Surg","first-page":"700","article-title":"Exposure of the anterior spine. Technique, complications, and results in 85 patients","volume":"154","author":"Westfall","year":"1987"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/21\/5\/article-p794.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/21\/5\/article-p794.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/21\/5\/article-p794.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T18:57:39Z","timestamp":1681585059000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/21\/5\/article-p794.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2014,11]]},"references-count":21,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2014.7.spine131146","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2014,11]]}}}