Transforaminal endoscopic decompression of a postoperative dislocated bone fragment after a 2-level lumbar total disc replacement: case report
| Autor: | Albert E. Telfeian, Ralf Wagner, Menno Iprenburg |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Total Disc Replacement medicine.medical_treatment Joint Dislocations Lumbar vertebrae 03 medical and health sciences 0302 clinical medicine Lumbar Postoperative Complications medicine Fluoroscopy Humans Joint dislocation Paresis 030222 orthopedics Lumbar Vertebrae medicine.diagnostic_test business.industry Endoscopy General Medicine medicine.disease Decompression Surgical Arthroplasty Surgery medicine.anatomical_structure Female Neurology (clinical) Implant Radiology medicine.symptom business Tomography X-Ray Computed 030217 neurology & neurosurgery |
| Zdroj: | Neurosurgical focus. 40(2) |
| ISSN: | 1092-0684 |
| Popis: | The proposed advantages of total disc replacement (TDR) over fusion in the lumbar spine are the preservation of motion and the avoidance of adjacent-level disease. One of the complications inherent in TDR is the possibility of vertebral body fracture due to trauma or a malpositioned implant. The resulting dilemma is that posterior decompression of the displaced bone fragment could then have a destabilizing effect and possibly require fusion, thus obviating the benefit of an arthroplasty procedure. In this study, the authors describe the technical considerations and feasibility of the treatment of a postoperative L-5 paresis that resulted from a dislocated bone fragment at L4–5 during a 2-level lumbar TDR. |
| Databáze: | OpenAIRE |
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