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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 RetrievalAfter the cage is loosened, a hook or pituitary with teeth is used to retrieve the material.
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FIG4: Cage RetrievalAfter the cage is loosened, a hook or pituitary with teeth is used to retrieve the material.

Mentions: This was completed in order to loosen and remove the interbody cage. In some instances, a straight and a curved curette were used to loosen the cage from scar tissue and the end plates. Once the cage was properly loosened, a hook or pituitary with teeth was inserted to grab the cage allowing it to be withdrawn from the interspace (Figure 4).


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 RetrievalAfter the cage is loosened, a hook or pituitary with teeth is used to retrieve the material.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

FIG4: Cage RetrievalAfter the cage is loosened, a hook or pituitary with teeth is used to retrieve the material.
Mentions: This was completed in order to loosen and remove the interbody cage. In some instances, a straight and a curved curette were used to loosen the cage from scar tissue and the end plates. Once the cage was properly loosened, a hook or pituitary with teeth was inserted to grab the cage allowing it to be withdrawn from the interspace (Figure 4).

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