article = {SCR-2020-12-117}
title = {Splenic Rupture After Minimal Invasive Lateral Retropleural Corpectomy}
journal = {Surgical Case Reports}
year = {2020}
issn = {2613-5965}
doi = {http://dx.doi.org/10.31487/j.SCR.2020.12.17}
url = {https://www.sciencerepository.org/splenic-rupture-after-minimal-invasive-lateral-retropleural-corpectomy_SCR-2020-12-117 
author = {Michele  Cappuccio,Gregorio  Tugnoli,Tiziano  Fidilio,Federico  De Iure,}
keywords = {Thoracolumbar fracture, minimal invasive retropleural, corpectomy, spleen rupture, complication}
abstract ={Retropleural minimal invasive approach to the thoracolumbar junction has become more popular in the last
decade both for degenerative and traumatic spine surgery as it marries the advantages of direct vision typical
of open surgery and the philosophy of tissue sparing which characterizes the thoracoscopic approach.
Nevertheless, as with the just mentioned techniques, this approach also requires the caudal displacement of
the diaphragm with the organs below including the spleen. The authors report one case of postoperative
spleen disruption following a retropleural minimal invasive approach in a patient with an underlying grade
II spleen lesion occurred 8 days before and considered safe by the general surgeon. We conclude that even
negligible spleen injuries must be considered an absolute contraindication to thoracolumbar junction lateral
approach even with minimal invasive techniques.
}