Contralateral radiculopathy after transforaminal lumbar interbody fusion
Autor: | Travis Hunt, Vincent Arlet, Christopher I. Shaffrey, Francis H. Shen |
---|---|
Rok vydání: | 2007 |
Předmět: |
medicine.medical_specialty
Spinal stenosis business.industry medicine.medical_treatment Cauda equina Case Report Lumbar vertebrae medicine.disease Spondylolisthesis Degenerative disc disease Surgery Stenosis medicine.anatomical_structure Spinal fusion medicine Orthopedics and Sports Medicine Spinal canal business |
Zdroj: | European Spine Journal. 16:311-314 |
ISSN: | 1432-0932 0940-6719 |
Popis: | Transforaminal lumbar interbody fusion (TLIF) is an effective treatment for patients with degenerative spondylolisthesis and degenerative disc disease. Opposite side radiculopathy after the TLIF procedure has been recognized in this institution but has not been addressed in the literature. We present a case of opposite side radiculopathy after the TLIF procedure. We believe that this complication is related to asymptomatic stenosis on the contralateral side that is unmasked by the increased lordosis of the TLIF. The authors recommend increasing both disc height and foraminal height when choosing an interbody graft, and possibly decompressing the opposite foramen when preoperative MRI demonstrates foraminal stenosis. |
Databáze: | OpenAIRE |
Externí odkaz: |