Evidence map›Paper›PMID 36076193›Full record

ReviewBMC urology2022

Diagnosis and treatment of left ureteral injury as a rare complication of oblique lumbar interbody fusion surgery: a case report and literature review.

Weiheng Wang, Bing Xiao, Xiaodong Huang, Jiangming Yu, Yanhai Xi, Guohua Xu, Xiaojian Ye

Open access · goldAbstract readCase ReportsReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Case - Ureteric entrapment following oblique lateral interbody fusion.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Weiheng Wang *Department of Orthopaedics, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Bing Xiao *Department of Orthopaedics, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Xiaodong HuangDepartment of Orthopedics, The Third Affiliated Hospital of Guangzhou Medical University, Guangdong, 510140, China.
Jiangming YuDepartment of Orthopedics, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200336, China.
Yanhai XiDepartment of Orthopaedics, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Guohua XuDepartment of Orthopaedics, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China. xuguohuamail@163.com.
Xiaojian YeDepartment of Orthopaedics, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China. xjyespine@smmu.edu.cn.
Shanghai Jiao Tong University · CNThird Affiliated Hospital of Guangzhou Medical University · CNTongren Hospital · CN

Funding

National Natural Science Foundation of China 82102605Shanghai Sailing Program 19YF1448400
6 · The paper itself

Abstract

backgroundOblique lumbar interbody fusion (OLIF) surgery has been performed as a minimally invasive lateral lumbar fusion technique in recent years. Reports of operative complications of OLIF are limited, and there are fewer reports of ureteral injuries. CASE PRESENTATION: A 62-year-old Chinese woman diagnosed with "lumbar spondylolisthesis (L4 forward slip, I degree)" underwent OLIF treatment. The surgical decompression process was smooth, and the cage was successfully placed. After the expansion sleeve of OLIF was removed, clear liquid continuous outflow from the peritoneum was found. The patient was diagnosed with a ureteral injury. The urological surgeon expanded the original incision, and left ureteral injury anastomosis and ureteral stent implantation were performed. The patient was changed to the prone position and a percutaneous pedicle screw was placed in the corresponding vertebral body. The patient was indwelled with a catheter for 2 weeks, and regular oral administration of levofloxacin to prevent urinary tract infection. After 2 months, the double J tube was removed using a cystoscope. One year after surgery, the symptoms of lumbar back were significantly improved, and there were no urinary system symptoms. However, the patient needed an annual left ureter and kidney B-ultrasound.

conclusionUreteral injury is a rare complication and is easily missed in OLIF surgery. If the diagnosis is missed, the consequences can be serious. Patients should undergo catheterization before the operation and hematuria should be observed during the operation. We emphasize the careful use of surgical instruments to prevent intraoperative complications. In addition, after withdrawing the leaf in the operation, it is necessary to carefully observe whether a clear liquid continues to leak. If ureteral injury is found, one-stage ureteral injury repair operation should be performed to prevent ureteral stricture.

Indexed as

Spinal FusionSpondylolisthesisUreterFemaleHumansIntraoperative ComplicationsLumbar VertebraeMiddle AgedRetrospective StudiesTreatment OutcomeCase reportComplicationsOblique lumbar interbody fusion (OLIF)Ureteral injury

Identifiers

PMID36076193
PMCPMC9461179
OpenAlexW4295081351

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.