Posterior migration of fusion cages in degenerative lumbar disease treated with transforaminal lumbar interbody fusion: a report of three patients

Spine
Yasuchika AokiKazuhisa Takahashi

Abstract

A case report of 3 patients with posterior migration of bullet-shaped fusion cages after transforaminal lumbar interbody fusion (TLIF). One patient required emergency revision surgery; the other 2 patients are being observed during conservative treatment. To review cases of posterior migration of fusion cages and report ensuing clinical courses. TLIF is a commonly used procedure; however, there are few reports describing cage migration after the procedure. In most cases, when posterior cage migration follows posterior lumbar interbody fusion, emergency revision surgery is required. One recent study reported a case of posterior cage migration after TLIF, which was treated conservatively. Posterior migration of the bullet-shaped fusion cages occurred 1 to 2 months after TLIF in 3 patients. One of the 3 patients had isthmic spondylolisthesis treated by TLIF with bilateral pedicle screw fixation. The other 2 patients had degenerative scoliosis and were treated by TLIF with unilateral pedicle screw fixation. The patient with isthmic spondylolisthesis required revision surgery because the migrated cage caused nerve root irritation. The migrated cage was removed and a large-sized cage was employed to achieve stability. The other 2 pat...Continue Reading

References

Mar 14, 2002·Journal of Spinal Disorders & Techniques·Thomas G LoweDavid A B Smith

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Citations

Dec 20, 2011·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·Mourad Ould-SlimaneBrice Ilharreborde
Aug 11, 2012·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·Jan William Duncan, Richard Anthony Bailey
Oct 4, 2011·Neurosurgical Focus·Christoph P HofstetterRoger Härtl
Oct 18, 2011·Journal of Neurosurgery. Spine·Matthew J TormentiDavid O Okonkwo
May 4, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Jesse Chrastil, Alpesh A Patel
Apr 23, 2015·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·Guohua WangYong Cao
Dec 17, 2014·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·Shan-Wen XiaoZeng-Ming Xiao
Mar 6, 2018·Asian Spine Journal·Dong-Yeong LeeDong-Hee Kim
Jun 21, 2018·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Murat UlutaşTeyfik Demir

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