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Endoscopic Resection and Decompression for Lateral Displacement of Cage after Oblique Lumbar Interbody Fusion: A Case Report from a Single Center – Published Article

The article discusses a case of lateral displacement of cage after oblique lumbar interbody fusion (OLIF) and the use of an endoscopic resection and decompression technique to surgically revise this complication. Traditionally, open surgery has been used to revise this complication, but it often results in large trauma and a long recovery period. The surgery in this case was performed through a posterolateral approach similar to a transforaminal approach, with minimal blood loss and a short operation time. The patient experienced immediate relief of neurological symptoms and was discharged two days later. The endoscopic decompression technique appears to be an effective alternative for treating lateral displacement of cage after OLIF with the advantages of minimal invasion and quick recovery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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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.

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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

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Endoscopic Resection and Decompression for Lateral Displacement of Cage after Oblique Lumbar Interbody Fusion: A Case Report from a Single Center

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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

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