European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016
Vertebral body fracture after TLIF: a new complication.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Saville Philip A, Anari Jason B, Smith Harvey E, Arlet Vincent
Аннотация
BACKGROUND: The transforaminal posterior approach (TLIF) procedure was first described in 1982. Current literature indicates its equality in outcomes for fusion constructs as other anterior-posterior procedures. As a procedure becomes more popular and is more frequently performed the types and number of complications that occur increase. We report on a two case series that underwent TLIF. Both patients had satisfactory postoperative imaging, but presented later with coronal plane vertebral body fractures in the caudal vertebral body of the TLIF construct. We believe the complication may be related to: (a) unrecognized fracture of the endplate during cage impaction; (b) overloading the endplates by maximizing the lordosis achieved by using the reverse jackknife position on a Jackson table; (c) underlying mineral bone disease in patients. As the TLIF procedure increases in popularity, caution should be exercised to avoid the same potential complications.
PURPOSE: To describe a potential complication with the TLIF procedure.
STUDY DESIGN: Case report.
PATIENT SAMPLE: 2.
OUTCOME MEASURE: Revision surgery.
METHODS: Case series.
RESULTS: Caudal vertebral body fracture is a potential complication after TLIF.
CONCLUSION: TLIF procedures can result in an unstable vertebral body fracture potentially necessitating revision decompression & stabilization. We recommend extra caution in patients with mineral bone disease, as technical errors can be magnified.
PURPOSE: To describe a potential complication with the TLIF procedure.
STUDY DESIGN: Case report.
PATIENT SAMPLE: 2.
OUTCOME MEASURE: Revision surgery.
METHODS: Case series.
RESULTS: Caudal vertebral body fracture is a potential complication after TLIF.
CONCLUSION: TLIF procedures can result in an unstable vertebral body fracture potentially necessitating revision decompression & stabilization. We recommend extra caution in patients with mineral bone disease, as technical errors can be magnified.