Gómez LRA, Chavira RPA, Díaz BS, Chávez LD, Cantú CE, Peña BAS, Pérez CJA

Language: Spanish
References: 5
Page: 142-146
PDF size: 1591.46 Kb.

ABSTRACT

Introduction: lumbar fusion procedures carry the risk of developing pseudoarthrosis. Despite their prevalence, few studies have characterized the clinical efficacy of life-saving procedures. Clinical case: a 65-year-old male with lumbar pain since undergoing an L5-S1 TLIF (Transforaminal Lumbar Interbody Fusion) procedure four years ago. With claudication and left-sided radicular pain. X-ray revealed adjacent segment disease and L5-S1 pseudoarthrosis. Conservative treatment was initiated without improvement of symptoms. Reconstruction of segmental lordosis by ALIF (Anterior Lumbar Interbody Fusion) is proposed as a rescue procedure. The patient presented improvement in pain and disability Index and evidence of arthrodesis and improvement in segmental spinopelvic parameters at the 3-month follow-up. Conclusions: using ALIF as a revision surgery for TLIF pseudoarthrosis proved highly effective for arthrodesis, improvement of spinopelvic parameters, and global sagittal alignment.

REFERENCES

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