What is it about?
We present a case of a persistent left-sided inferior vena cava (IVC) affecting the side of approach in a patient undergoing lumbar interbody fusion through an oblique prepsoas retroperitoneal approach. Preoperative imaging of our patient revealed a persistent left-sided inferior vena cava with a wide interval between the aorta and the right-sided psoas, allowing us a right-sided oblique approach.
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Why is it important?
Thorough preoperative imaging evaluation is essential to identify vascular anomalies that may hinder oblique pre-psoas retroperitoneal approach to the lumbar spine. Although rare, double IVC or isolated Left IVC may complicate the oblique approach.
Read the Original
This page is a summary of: Oblique Lumbar Interbody Fusion in Patient with Persistent Left-Sided Inferior Vena Cava: Case Report and Review of Literature, World Neurosurgery, December 2019, Elsevier, DOI: 10.1016/j.wneu.2019.08.176.
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