Evidence map›Paper›PMID 42237917›Full record

ArticleGlobal spine journal2026

Incidence and Predictors of Symptomatic Retroperitoneal Fluid Collection Following Anterior Lumbar Interbody Fusion.

Daniel Rusu, Joshua Davood, Henry Avetisian, Aidan R Lindgren, Camille Flynn, Rakhi Banerjee, Vivek L Satish, Marco Napolitano, Joshua Khorsandi, William J Karakash and 6 more

Abstract read
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In one paragraph

Article in Global spine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Daniel RusuDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.ORCID 0009-0005-5916-0484
Joshua DavoodDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.ORCID 0009-0004-4021-3219
Henry AvetisianDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.
Aidan R LindgrenDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.
Camille FlynnDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.
Rakhi BanerjeeDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.
Vivek L SatishDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.
Marco NapolitanoDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.ORCID 0009-0008-5171-9177
Joshua KhorsandiKirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA.ORCID 0009-0006-6426-5915
William J KarakashDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.ORCID 0009-0007-0777-2539
Niels MohtyDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.
Matthew C GalloDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.
Gregory A MageeDepartment of Surgery, Division of Vascular Surgery, NYU Langone Health, New York, NY, USA.
Jeffrey C WangDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.
Raymond J HahDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.ORCID 0000-0001-7513-3519
Ram K AlluriDepartment of Orthopaedic Surgery, Keck School of Medicine of The University of Southern California, Los Angeles, CA, USA.ORCID 0000-0001-5919-707X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study DesignRetrospective Cohort Study.ObjectivesTo determine the incidence of symptomatic retroperitoneal fluid collections (RFCs) following anterior lumbar interbody fusion (ALIF), characterize clinical presentation, and identify independent predictors and associated complications.MethodsBetween 2014 and 2023, adult patients who underwent 1- to 4-level primary or revision ALIF at a single academic university-affiliated hospital were retrospectively reviewed for postoperative RFCs. Asymptomatic RFCs, <1 year follow-up, and surgical indications for trauma, malignancy, or infection were excluded. Symptomatic RFCs, including lymphoceles, hematomas/seromas, abscesses, and urinomas, were identified on postoperative MRI with final classification based on fluid aspiration when available. Multivariable logistic regression was performed to identify independent predictors of RFCs and associations with postoperative complications.ResultsAmong 553 included patients, 44 (7.97%) developed symptomatic postoperative RFCs, most commonly seromas, presenting with abdominal pain and distension. Multi-level surgeries (aOR: 4.472), estimated blood loss ≥725 mL (aOR: 4.213), intraoperative transfusion (aOR: 3.347), L4-5 fusion (aOR: 3.186), higher ASA class (aOR: 2.291), and venous injury (aOR: 2.051) (all

Indexed as

abscessALIFanterior spine exposurehematomalymphocelepostoperative complicationseroma

Identifiers

PMID42237917
PMCPMC13236715

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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.