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Iatrogenic contralateral foraminal stenosis following lumbar spine fusion surgery: illustrative cases
BACKGROUND: Lumbar spine fusion is the mainstay treatment for degenerative spine disease. Multiple potential complications of spinal fusion have been found. Acute contralateral radiculopathy postoperatively has been reported in previous literature, with unclear underlying pathology. Few articles rep...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Association of Neurological Surgeons
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550679/ https://www.ncbi.nlm.nih.gov/pubmed/36941201 http://dx.doi.org/10.3171/CASE2317 |
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author | Konbaz, Faisal Aldakhil, Sahar Alhelal, Fahad Abalkhail, Majed Bourghli, Anouar Ateeq, Khawlah Aleissa, Sami |
author_facet | Konbaz, Faisal Aldakhil, Sahar Alhelal, Fahad Abalkhail, Majed Bourghli, Anouar Ateeq, Khawlah Aleissa, Sami |
author_sort | Konbaz, Faisal |
collection | PubMed |
description | BACKGROUND: Lumbar spine fusion is the mainstay treatment for degenerative spine disease. Multiple potential complications of spinal fusion have been found. Acute contralateral radiculopathy postoperatively has been reported in previous literature, with unclear underlying pathology. Few articles reported the incidence of contralateral iatrogenic foraminal stenosis after lumbar fusion surgery. The aim of current article is to explore the possible causes and prevention of this complication. OBSERVATIONS: The authors present 4 cases in which patients developed acute postoperative contralateral radiculopathy requiring revision surgery. In addition, we present a fourth case in which preventive measures have been applied. The aim of this article was to explore the possible causes and prevention to this complication. LESSONS: Iatrogenic foraminal stenosis of the lumbar spine is a common complication; preoperative evaluation and middle intervertebral cage positioning are needed to prevent this complication. |
format | Online Article Text |
id | pubmed-10550679 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | American Association of Neurological Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-105506792023-10-06 Iatrogenic contralateral foraminal stenosis following lumbar spine fusion surgery: illustrative cases Konbaz, Faisal Aldakhil, Sahar Alhelal, Fahad Abalkhail, Majed Bourghli, Anouar Ateeq, Khawlah Aleissa, Sami J Neurosurg Case Lessons Case Lesson BACKGROUND: Lumbar spine fusion is the mainstay treatment for degenerative spine disease. Multiple potential complications of spinal fusion have been found. Acute contralateral radiculopathy postoperatively has been reported in previous literature, with unclear underlying pathology. Few articles reported the incidence of contralateral iatrogenic foraminal stenosis after lumbar fusion surgery. The aim of current article is to explore the possible causes and prevention of this complication. OBSERVATIONS: The authors present 4 cases in which patients developed acute postoperative contralateral radiculopathy requiring revision surgery. In addition, we present a fourth case in which preventive measures have been applied. The aim of this article was to explore the possible causes and prevention to this complication. LESSONS: Iatrogenic foraminal stenosis of the lumbar spine is a common complication; preoperative evaluation and middle intervertebral cage positioning are needed to prevent this complication. American Association of Neurological Surgeons 2023-03-20 /pmc/articles/PMC10550679/ /pubmed/36941201 http://dx.doi.org/10.3171/CASE2317 Text en © 2023 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ). |
spellingShingle | Case Lesson Konbaz, Faisal Aldakhil, Sahar Alhelal, Fahad Abalkhail, Majed Bourghli, Anouar Ateeq, Khawlah Aleissa, Sami Iatrogenic contralateral foraminal stenosis following lumbar spine fusion surgery: illustrative cases |
title | Iatrogenic contralateral foraminal stenosis following lumbar spine fusion surgery: illustrative cases |
title_full | Iatrogenic contralateral foraminal stenosis following lumbar spine fusion surgery: illustrative cases |
title_fullStr | Iatrogenic contralateral foraminal stenosis following lumbar spine fusion surgery: illustrative cases |
title_full_unstemmed | Iatrogenic contralateral foraminal stenosis following lumbar spine fusion surgery: illustrative cases |
title_short | Iatrogenic contralateral foraminal stenosis following lumbar spine fusion surgery: illustrative cases |
title_sort | iatrogenic contralateral foraminal stenosis following lumbar spine fusion surgery: illustrative cases |
topic | Case Lesson |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550679/ https://www.ncbi.nlm.nih.gov/pubmed/36941201 http://dx.doi.org/10.3171/CASE2317 |
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