Transforaminal endoscopic decompression of a postoperative dislocated bone fragment after a 2-level lumbar total disc replacement: case report

Neurosurgical Focus
Ralf WagnerAlbert E Telfeian

Abstract

The proposed advantages of total disc replacement (TDR) over fusion in the lumbar spine are the preservation of motion and the avoidance of adjacent-level disease. One of the complications inherent in TDR is the possibility of vertebral body fracture due to trauma or a malpositioned implant. The resulting dilemma is that posterior decompression of the displaced bone fragment could then have a destabilizing effect and possibly require fusion, thus obviating the benefit of an arthroplasty procedure. In this study, the authors describe the technical considerations and feasibility of the treatment of a postoperative L-5 paresis that resulted from a dislocated bone fragment at L4-5 during a 2-level lumbar TDR.

References

Oct 18, 2002·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·Helmut D Link
Aug 7, 2003·Journal of Spinal Disorders & Techniques·André van OoijAb J Verbout
Mar 31, 2005·Journal of Neurosurgery. Spine·Claudius ThoméPeter Schmiedek
Dec 21, 2006·Journal of Neurosurgery. Spine·Luiz PimentaLuis Guerrero Guerrero
May 13, 2008·Spine·Alpesh A PatelAlexander R Vaccaro
Jun 16, 2009·Journal of Spinal Disorders & Techniques·Gerardus H R de MaatAndré van Ooij
Mar 29, 2011·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kyeong-seong Yeom, Yong-soo Choi
Dec 27, 2011·International Orthopaedics·Antoine GeromettaFabian Bittan
Feb 20, 2015·International Journal of Spine Surgery·Karin Büttner-JanzDonna D Ohnmeiss
Feb 28, 2015·Clinical Neurology and Neurosurgery·Albert E Telfeian
May 8, 2015·Surgical Neurology International·Albert E Telfeian

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Citations

Jan 22, 2018·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·Zhi-Qiang JiaSan-Qiang Li
Aug 1, 2020·World Neurosurgery·Albert E TelfeianZiya Gokaslan
May 23, 2018·World Neurosurgery·Albert E TelfeianZiya L Gokaslan

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Methods Mentioned

BETA
total disc arthroplasty

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