Wagner Ralf, Telfeian Albert E, Krzok Guntram, Iprenburg Menno
Ligamenta Spine Centre, Frankfurt, Germany.
Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
World Neurosurg. 2017 Oct;106:26-29. doi: 10.1016/j.wneu.2017.06.084. Epub 2017 Jun 20.
Lateral lumbar interbody fusion is a minimally invasive approach to anterior spinal column fusion, deformity correction, and indirect decompression of the lumbar spine. A rarely reported possible complication of the procedure is end plate fracture, which has the potential for nerve root compression. Here we present a case of end plate fracture and nerve compression after stand-alone lateral lumbar interbody fusion, its diagnosis, and its subsequent successful treatment with transforaminal endoscopic spine surgery. The case highlights the possible role for minimally invasive endoscopic surgery as a rescue procedure after fusion complication.
腰椎外侧椎间融合术是一种用于脊柱前路融合、畸形矫正和腰椎间接减压的微创方法。该手术一种罕见报道的可能并发症是终板骨折，其有可能导致神经根受压。在此，我们报告一例单纯腰椎外侧椎间融合术后终板骨折及神经受压的病例、其诊断以及随后经椎间孔内镜脊柱手术成功治疗的情况。该病例突出了微创内镜手术作为融合术后并发症补救手术的可能作用。
