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Technical Note - Lateral Approach to the Lumbar Spine for the Removal of Interbody Cages.

Moisi M, Page J, Paulson D, Oskouian RJ - Cureus (2015)

Bottom Line: Revision surgery to address the migration or fracture of a lumbar interbody cage can be technically challenging. Scar tissue and fibrosis, among other anatomic barriers, can make removal of the cage a complicated procedure, potentially increasing postoperative pain as well as the probability of neurologic deficits. Use of the lateral surgical technique for removal of the cage can avoid these potential complications. In this case report, we describe the removal of interbody cages through a lateral approach in three patients without the necessity of additional posterior hardware revision.

View Article: PubMed Central - HTML - PubMed

Affiliation: Neurosurgery, Swedish Neuroscience Institute.

ABSTRACT
Revision surgery to address the migration or fracture of a lumbar interbody cage can be technically challenging. Scar tissue and fibrosis, among other anatomic barriers, can make removal of the cage a complicated procedure, potentially increasing postoperative pain as well as the probability of neurologic deficits. Use of the lateral surgical technique for removal of the cage can avoid these potential complications. In this case report, we describe the removal of interbody cages through a lateral approach in three patients without the necessity of additional posterior hardware revision.

No MeSH data available.


Related in: MedlinePlus

Cage Fracture and MigrationCT imaging reveals a fracture of the interbody cage and its subsequent migration into the spinal cord.
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FIG2: Cage Fracture and MigrationCT imaging reveals a fracture of the interbody cage and its subsequent migration into the spinal cord.

Mentions: In the second patient case, a 52-year-old female was evaluated in clinic with symptoms of significant neurogenic claudication, radicular pain, and lower extremity weakness two years status post posterior lumbar interbody fusion at L3-4. CT imaging revealed a fracture of the interbody cage and its subsequent migration into the spinal cord (Figure 2).


Technical Note - Lateral Approach to the Lumbar Spine for the Removal of Interbody Cages.

Moisi M, Page J, Paulson D, Oskouian RJ - Cureus (2015)

Cage Fracture and MigrationCT imaging reveals a fracture of the interbody cage and its subsequent migration into the spinal cord.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4494582&req=5

FIG2: Cage Fracture and MigrationCT imaging reveals a fracture of the interbody cage and its subsequent migration into the spinal cord.
Mentions: In the second patient case, a 52-year-old female was evaluated in clinic with symptoms of significant neurogenic claudication, radicular pain, and lower extremity weakness two years status post posterior lumbar interbody fusion at L3-4. CT imaging revealed a fracture of the interbody cage and its subsequent migration into the spinal cord (Figure 2).

Bottom Line: Revision surgery to address the migration or fracture of a lumbar interbody cage can be technically challenging. Scar tissue and fibrosis, among other anatomic barriers, can make removal of the cage a complicated procedure, potentially increasing postoperative pain as well as the probability of neurologic deficits. Use of the lateral surgical technique for removal of the cage can avoid these potential complications. In this case report, we describe the removal of interbody cages through a lateral approach in three patients without the necessity of additional posterior hardware revision.

View Article: PubMed Central - HTML - PubMed

Affiliation: Neurosurgery, Swedish Neuroscience Institute.

ABSTRACT
Revision surgery to address the migration or fracture of a lumbar interbody cage can be technically challenging. Scar tissue and fibrosis, among other anatomic barriers, can make removal of the cage a complicated procedure, potentially increasing postoperative pain as well as the probability of neurologic deficits. Use of the lateral surgical technique for removal of the cage can avoid these potential complications. In this case report, we describe the removal of interbody cages through a lateral approach in three patients without the necessity of additional posterior hardware revision.

No MeSH data available.


Related in: MedlinePlus