Case Series of Anterior Intervertebral Graft Extrusions in Transforaminal Lumbar Interbody Fusion Surgeries

World Neurosurgery
Alan T VillavicencioSigita Burneikiene

Abstract

According to the published reports, revision surgery is sometimes recommended even in patients with asymptomatic anterior lumbar intervertebral graft migrations. The main purpose of this chart review study was to report on the clinical course and outcomes of patients who had anterior intervertebral graft extrusions after transforaminal lumbar interbody fusion (TLIF). From July 2002 to July 2014, 1259 consecutive TLIF surgeries were performed. These were reviewed, and patients who had anterior intervertebral graft extrusions were identified. The incidence of graft extrusion was 0.6% (7 of 1259 patients). There were 6 female patients and 1 male patient with an average age of 65.7 years (range, 44-80 years). All patients underwent TLIF with bilateral pedicle screw fixation, and 6 received recombinant human bone morphogenetic protein-2. Graft migrations were diagnosed between 5 days and 8 months postoperatively except for 2 cases in which migration occurred intraoperatively. The patients were closely followed for an average of 27.4 months (range, 12-43 months). All patients remained asymptomatic during the follow-up period and had solid fusion despite extrusions with an average time to fusion of 13 months (range, 10-18 months). No ...Continue Reading

References

Dec 31, 2005·Journal of Neurosurgery. Spine·Alan T VillavicencioJeffrey Thramann
Mar 16, 2007·The Journal of Bone and Joint Surgery. British Volume·R VaidyaC D Wybo
Dec 6, 2008·Journal of Spinal Disorders & Techniques·Rahul VaidyaJoseph G Craig
Jan 7, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Antonio A FaundezJill M Wroblewski
May 29, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Alexander AbbushiStefan Nikolaus Kroppenstedt
Oct 18, 2011·Journal of Neurosurgery. Spine·Matthew J TormentiDavid O Okonkwo
Dec 14, 2011·Journal of Spinal Disorders & Techniques·Gregor RecnikRok Vengust
Oct 31, 2012·Orthopaedic Surgery·Feng-dong ZhaoShun-wu Fan
Aug 21, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Eyal BehrbalkBronek Maximilian Boszczyk

❮ Previous
Next ❯

Citations

May 2, 2019·World Journal of Orthopedics·Andrews KyleHossein Elgafy

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.