MIGRATION OF BANANA-SHAPED CAGE IN THE TWO LEVELS AFTER POSTERIOR LUMBAR INTERBODY FUSION: A CASE REPORT
Journal Title: Journal of Turkish Spinal Surgery - Year 2010, Vol 21, Issue 2
Abstract
Interbody fusion with cage is an effective treatment modality which showed good results in treating this instability due to spondylolytic spondylolisthesis. However, recent studies showed major complications of this technique. In this report, the authors present the first case of banana-shaped cage migration in the two adjacent levels. A 32-year-old woman, who was operated for Grade II spondylolisthesis of L5 vertebra with posterior lumbar interbody fusion (PLIF), by banana-shaped cages placed in L4-5 and L5-S1 intervertebral disc spaces. After 2 months of the operation, the patient complained severe low back pain radiating to both legs. Control lumbar imaging showed dislocation and migration of the both cages posteriorly obliterating the spinal canal. The patient was then operated by posterior approach, with removing the migrated cages, interbody fusion with autologous iliac graft and posterior fixation with rods and pedicle screws. The patientʼs complaints resolved completely, and discharged with no further complications.
Authors and Affiliations
Bashar ABUZAYED, Seckin AYDIN, Sabri AYDIN, Ahmet Levent AYDIN, Galip Zihni SANUS, Ziya AKAR
Keywords
Related Articles
- EP ID EP676648
- DOI -
- Views 120
- Downloads 0
CHOICE OF SURGICAL TREATMENT FOR MULTISEGMENTAL CERVICAL SPONDYLOTIC MYELOPATHY
Recent advances in surgical techniques have expanded the field of surgical treatment for cervical spondylotic myelopathy. For single-level spondylotic myelopathy, anterior surgery has been widely accepted. However, the...
AN UNUSUAL COMPLICATION OF VERTEBROPLASTY: URINARY INCONTINENCE
We present an unusual complication following a vertebroplasty performed under local anaesthesia and sedation in an osteoporotic patient with a lumbar burst fracture: urinary incontinence. Computed tomography showed retro...
BIOMECHANICAL EVALUATION OF ALICI SPINAL SYSTEM
The three dimentional stabitity provided by Alıcı spinal system has been studied in an in vitro biomechanical model usı'ng fresh calf thoracoiumber spine specimens. An injury was created at L1 vertebra, totally excising...
OSTEOCHONDROMA OF LAMINA OF C2. A CASE REPORT WITH A RARE LOCATION
Osteochondroma is the most frequently encountered benign bone tumor, and often it originates from the metaphyseal region of long bones. Osteochondroma is a pathology which may cause neurologic dysfunction and rare neck p...
PERIOPERATIVE RISK FACTORS IN COMPLEX LUMBAR SPINAL STENOSIS PATIENTS TREATED WITH DECOMPRESION AND FUSION
Background Data: Lumbar decompression and fusion are widely accepted surgical techniques to treat most of the degenerative lumbar spine diseases. With the increasing geriatric population, requiring lumbar surgery is e...