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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

Loosening of the CageAn osteotome can be seen approaching the disc space laterally along the inferior end plate. This is done in order to loosen the cage.
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FIG3: Loosening of the CageAn osteotome can be seen approaching the disc space laterally along the inferior end plate. This is done in order to loosen the cage.

Mentions: Once docked on the lateral disc space, we used an osteotome to go above and below the cage as well as along the end plate (Figure 3).


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

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

Loosening of the CageAn osteotome can be seen approaching the disc space laterally along the inferior end plate. This is done in order to loosen the cage.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

FIG3: Loosening of the CageAn osteotome can be seen approaching the disc space laterally along the inferior end plate. This is done in order to loosen the cage.
Mentions: Once docked on the lateral disc space, we used an osteotome to go above and below the cage as well as along the end plate (Figure 3).

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