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Utilization of lateral anterior lumbar interbody fusion for revision of failed prior TLIF: illustrative case

BACKGROUND: The use of the lateral decubitus approach for L5–S1 anterior lumbar interbody fusion (LALIF) is a recent advancement capable of facilitating single-position surgery, revision operations, and anterior column reconstruction. To the authors’ knowledge, this is the first description of the u...

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Autores principales: Haider, Ghani, Wagner, Katherine E., Chandra, Venita, Cheng, Ivan, Stienen, Martin N., Veeravagu, Anand
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9204934/
https://www.ncbi.nlm.nih.gov/pubmed/35733821
http://dx.doi.org/10.3171/CASE2296
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author Haider, Ghani
Wagner, Katherine E.
Chandra, Venita
Cheng, Ivan
Stienen, Martin N.
Veeravagu, Anand
author_facet Haider, Ghani
Wagner, Katherine E.
Chandra, Venita
Cheng, Ivan
Stienen, Martin N.
Veeravagu, Anand
author_sort Haider, Ghani
collection PubMed
description BACKGROUND: The use of the lateral decubitus approach for L5–S1 anterior lumbar interbody fusion (LALIF) is a recent advancement capable of facilitating single-position surgery, revision operations, and anterior column reconstruction. To the authors’ knowledge, this is the first description of the use of LALIF at L5–S1 for failed prior transforaminal lumbar interbody fusion (TLIF) and anterior column reconstruction. Using an illustrative case, the authors discuss their experience using LALIF at L5–S1 for the revision of pseudoarthrosis and TLIF failure. OBSERVATIONS: The patient had prior attempted L2 to S1 fusion with TLIF but suffered from hardware failure and pseudoarthrosis at the L5–S1 level. LALIF was used to facilitate same-position revision at L5–S1 in addition to further anterior column revision and reconstruction by lateral lumbar interbody fusion at the L1–2 level. Robotic posterior T10–S2 fusion was then added to provide stability to the construct and address the patient’s scoliotic deformity. No complications were noted, and the patient was followed until 1 year after the operation with a favorable clinical and radiological result. LESSONS: Revision of a prior failed L5–S1 TLIF with an LALIF approach has technical challenges but may be advantageous for single position anterior column reconstruction under certain conditions.
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spelling pubmed-92049342022-06-21 Utilization of lateral anterior lumbar interbody fusion for revision of failed prior TLIF: illustrative case Haider, Ghani Wagner, Katherine E. Chandra, Venita Cheng, Ivan Stienen, Martin N. Veeravagu, Anand J Neurosurg Case Lessons Case Lesson BACKGROUND: The use of the lateral decubitus approach for L5–S1 anterior lumbar interbody fusion (LALIF) is a recent advancement capable of facilitating single-position surgery, revision operations, and anterior column reconstruction. To the authors’ knowledge, this is the first description of the use of LALIF at L5–S1 for failed prior transforaminal lumbar interbody fusion (TLIF) and anterior column reconstruction. Using an illustrative case, the authors discuss their experience using LALIF at L5–S1 for the revision of pseudoarthrosis and TLIF failure. OBSERVATIONS: The patient had prior attempted L2 to S1 fusion with TLIF but suffered from hardware failure and pseudoarthrosis at the L5–S1 level. LALIF was used to facilitate same-position revision at L5–S1 in addition to further anterior column revision and reconstruction by lateral lumbar interbody fusion at the L1–2 level. Robotic posterior T10–S2 fusion was then added to provide stability to the construct and address the patient’s scoliotic deformity. No complications were noted, and the patient was followed until 1 year after the operation with a favorable clinical and radiological result. LESSONS: Revision of a prior failed L5–S1 TLIF with an LALIF approach has technical challenges but may be advantageous for single position anterior column reconstruction under certain conditions. American Association of Neurological Surgeons 2022-06-06 /pmc/articles/PMC9204934/ /pubmed/35733821 http://dx.doi.org/10.3171/CASE2296 Text en © 2022 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
Haider, Ghani
Wagner, Katherine E.
Chandra, Venita
Cheng, Ivan
Stienen, Martin N.
Veeravagu, Anand
Utilization of lateral anterior lumbar interbody fusion for revision of failed prior TLIF: illustrative case
title Utilization of lateral anterior lumbar interbody fusion for revision of failed prior TLIF: illustrative case
title_full Utilization of lateral anterior lumbar interbody fusion for revision of failed prior TLIF: illustrative case
title_fullStr Utilization of lateral anterior lumbar interbody fusion for revision of failed prior TLIF: illustrative case
title_full_unstemmed Utilization of lateral anterior lumbar interbody fusion for revision of failed prior TLIF: illustrative case
title_short Utilization of lateral anterior lumbar interbody fusion for revision of failed prior TLIF: illustrative case
title_sort utilization of lateral anterior lumbar interbody fusion for revision of failed prior tlif: illustrative case
topic Case Lesson
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9204934/
https://www.ncbi.nlm.nih.gov/pubmed/35733821
http://dx.doi.org/10.3171/CASE2296
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