Department of Neurosurgery, The Brain and Spine Care, Minimally Invasive Spine Surgery Group, Spine Center, Hospital Star Medica, Queretaro City, Mexico.
Department of Neurosurgery, Seoul St. Mary´s Hospital, Spine Center, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Cir Cir. 2021;89(5):669-673. doi: 10.24875/CIRU.20000694.
Anterior cage migration is the most infrequent and dangerous complication seen in posterior lumbar interbody fusion (PLIF) procedures. We report the case of a 74-year-old woman who underwent PLIF at the L5-S1 level. During the surgery, one of the PLIF-cages dislodged anteriorly into the abdominal cavity without vascular injury. An anterior retroperitoneal approach to remove the cage and complete the fusion was made. The patient was discharged 2 weeks later with encouraging clinical results. In a patient hemodynamically stable, removing the cage by a vascular surgeon, and complete the Anterior Lumbar Interbody Fusion could be a feasible option at L5-S1.
前路 cage 迁移是后路腰椎体间融合术（PLIF）中最罕见和最危险的并发症。我们报告了一例 74 岁女性在 L5-S1 水平行 PLIF 的病例。手术过程中，一个 PLIF-cage 向前移位进入腹腔，但无血管损伤。采用前路腹膜后入路取出 cage 并完成融合。患者术后 2 周出院，临床结果令人鼓舞。在血流动力学稳定的患者中，由血管外科医生取出 cage 并完成前路腰椎体间融合术可能是 L5-S1 的可行选择。
