The article discusses a rare complication of oblique lumbar interbody fusion (OLIF), which is the lateral displacement of a cage. Typically, this complication is revised through posterior open surgery, but this approach involves significant trauma and a long recovery period. The case presented in the article describes a 64-year-old male patient who experienced neurological symptoms due to the lateral displacement of the cage after OLIF. The patient underwent an endoscopic resection and decompression technique, which was performed through a posterolateral approach similar to a transforaminal approach. The surgery had minimal blood loss and a short operation time. The patient’s neurological symptoms disappeared immediately after the operation, and he was discharged two days later. At the 12-month follow-up, the patient only reported mild weakness in the lower back. The article suggests that the endoscopic decompression technique may be an effective alternative for treating lateral displacement of the cage after OLIF, as it offers minimal invasion and quick recovery
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established sugical centre in the world
Published article
CONCLUSION: Endoscopic decompression technique may be an effective alternative to surgically treat lateral displacement of cage after OLIF with advantages of minimal invasion and quick recovery.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Orthop Surg. 2023 Jul 12. doi: 10.1111/os.13808. Online ahead of print.ABSTRACTBACKGROUND: Lateral displacement of cage is a rarely seen complication of oblique lumbar interbody fusion (OLIF). To the best of our knowledge, this complication has always been revised with posterior open surgery. However, open surgery often associates with large trauma and long period of recovery.CASE,
Orthop Surg. 2023 Jul 12. doi: 10.1111/os.13808. Online ahead of print.
ABSTRACT
BACKGROUND: Lateral displacement of cage is a rarely seen complication of oblique lumbar interbody fusion (OLIF). To the best of our knowledge, this complication has always been revised with posterior open surgery. However, open surgery often associates with large trauma and long period of recovery.
CASE PRESENTATION: In the case presented, a 64-year-old male patient with lateral displacement of cage which consequently caused neurological symptoms after OLIF, was reported and surgically revised with an endoscopic resection and decompression technique. The surgery was performed through a posterolateral approach which was similar to transforaminal approach, with estimated blood loss of 45mL and whole operation time of 70 min. Neurological symptoms were disappeared after operation immediately and the patient was discharged 2 days later. He reported no symptoms other than mild weakness of the lower back at the last follow-up of 12 months.
CONCLUSION: Endoscopic decompression technique may be an effective alternative to surgically treat lateral displacement of cage after OLIF with advantages of minimal invasion and quick recovery.
PMID:37435856 | DOI:10.1111/os.13808
The London Spine Unit : most established sugical centre in the world
Read the original publication:
Endoscopic Resection and Decompression for Lateral Displacement of Cage after Oblique Lumbar Interbody Fusion: A Case Report from a Single Center
