Traumatic Vertebral Fracture in a Patient With Transforaminal Lumbar Interbody Fusion: A Rare Complication
| Autor: | Wen Cheng Huang, Chao-Hung Kuo, Jau Ching Wu, Wan-Chi Chiang, Tsung-Hsi Tu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
spondyolisthesis business.industry Decompression Neurosurgery General Engineering vertebral facture computed tomography Neurogenic claudication Perioperative medicine.disease Posterior column Surgery Pseudarthrosis trauma tlif medicine Back pain medicine.symptom Radiology business Claudication Lumbosacral joint |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.19004 |
| Popis: | Transforaminal lumbar interbody fusion (TLIF) offers the potential benefits of anterior and posterior column decompression and fusion. Pseudarthrosis and infection are among the most common perioperative complications. Vertebral fracture after TLIF is a rare and unusual complication. A 74-year-old female underwent L3-5 TLIF for lumbar spondylolisthesis that caused back pain and neurogenic claudication. She recovered well after surgery. However, she subsequently experienced progressive back pain and recurrent claudication after a fall. Elongated anterior-posterior length of the L5 body with progressive L5-S1 listhesis was observed in the serial radiographic follow-ups. The CT scan revealed complicated fracture lines crossing the L5 body. Further extended fixation was performed for decompression and reconstruction of the lumbosacral alignment. Although vertebral fracture after TLIF is a rare complication, a high index of suspicion is the key to early diagnosis, preferably with CT scans, for patients with traumatic accidents after TLIF surgery. |
| Databáze: | OpenAIRE |
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