如何应对这种并发症：L5-S1 术中前路 cage 迁移，采用腰椎杂交融合技术解决。
How to deal with this complication: Intraoperative anterior cage migration in L5-S1 resolved with a lumbar hybrid fusion technique.
机构信息
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.
出版信息
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。
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