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微创斜外侧腰椎椎间融合术中椎间融合器位置不当

Malposition of Cage in Minimally Invasive Oblique Lumbar Interbody Fusion.

作者信息

Kraiwattanapong Chaiwat, Arnuntasupakul Vanlapa, Kantawan Rungthiwa, Keorochana Gun, Lertudomphonwanit Thamrong, Sirijaturaporn Pakkanut, Thonginta Methawut

机构信息

Department of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Department of Anesthesiology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Case Rep Orthop. 2018 Jul 11;2018:9142074. doi: 10.1155/2018/9142074. eCollection 2018.

DOI:10.1155/2018/9142074
PMID:30123602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6079598/
Abstract

INTRODUCTION

Minimally invasive oblique lumbar interbody fusion is one of the novel lateral lumbar interbody fusion techniques for which the successful early results have been reported. However, new complications were increasingly reported from ongoing studies.

CASE PRESENTATION

We report a case of an unusual complication of minimally invasive oblique lumbar interbody fusion associated with contralateral nerve root compression due to deep and posterior position of polyetheretherketone cage and discussion of the operating technique for repositioning polyetheretherketone cage.

CONCLUSION

Malposition of polyetheretherketone cage can cause contralateral nerve root compression and neurological complication. The surgical technique to proper pull the polyetheretherketone cage back into the acceptable position should be considered and well prepared.

摘要

引言

微创斜外侧腰椎椎间融合术是一种新型的外侧腰椎椎间融合技术,已有早期成功的报道。然而,在后续研究中越来越多地报告了新的并发症。

病例报告

我们报告了一例微创斜外侧腰椎椎间融合术的罕见并发症,因聚醚醚酮椎间融合器位置过深和靠后导致对侧神经根受压,并讨论了重新定位聚醚醚酮椎间融合器的手术技巧。

结论

聚醚醚酮椎间融合器位置不当可导致对侧神经根受压和神经并发症。应考虑并充分准备将聚醚醚酮椎间融合器正确拉回到可接受位置的手术技术。

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