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Minimally Invasive Revision of Luque Plate Instrumentation: A Case Report – Lumbar Fusion

Day Case Lumbar Fusion Surgery

The article discusses the case of a 67-year-old male who underwent extension of a previous spinal fusion surgery with Luque instrumentation to treat neurogenic claudication at L3-4. The surgery involved minimally invasive techniques to extend the fusion to the L3-4 level by removing prior L4 pedicle screws and adding modern pedicle screws at L4 and L3 while leaving the Luque plates in place. The patient had a successful post-operative course with complete resolution of claudication symptoms, demonstrating that extension of prior Luque plate instrumented fusion can be achieved efficiently and with less morbidity. This case highlights the importance of knowledge of previously placed instrumentation in revision scenarios for successful outcomes

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spinal facility on Harley Street UK

Published article

Extension of existing spinal fusions may necessitate the removal of or linkage to prior constructs. Knowledge of previously placed instrumentation is critical to success in these revision scenarios. The Luque spinal instrumentation system, developed in the late 1980s, is a legacy pedicle screw and plate system that may be encountered during revision operations today. A 67-year-old male with a remote history of L4-S1 fusion with Luque instrumentation presented with bilateral lower extremity…

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
Cureus. 2024 Jan 28;16(1):e53120. doi: 10.7759/cureus.53120. eCollection 2024 Jan.ABSTRACTExtension of existing spinal fusions may necessitate the removal of or linkage to prior constructs. Knowledge of previously placed instrumentation is critical to success in these revision scenarios. The Luque spinal instrumentation system, developed in the late 1980s, is a legacy pedicle screw and plate system that,

Cureus. 2024 Jan 28;16(1):e53120. doi: 10.7759/cureus.53120. eCollection 2024 Jan.

ABSTRACT

Extension of existing spinal fusions may necessitate the removal of or linkage to prior constructs. Knowledge of previously placed instrumentation is critical to success in these revision scenarios. The Luque spinal instrumentation system, developed in the late 1980s, is a legacy pedicle screw and plate system that may be encountered during revision operations today. A 67-year-old male with a remote history of L4-S1 fusion with Luque instrumentation presented with bilateral lower extremity neurogenic claudication due to adjacent segment disease at L3-4. Decompression and extension of fusion to the L3-4 level were performed using minimally invasive techniques. Of note, posterior instrumentation was extended by removing prior L4 pedicle screws with a 7 mm female hexagonal driver through tubular retractors, leaving the Luque plates in place, placing modern pedicle screws at L4 (through the plates) and L3, and linking these with standard rods. The surgery and post-operative course were uncomplicated, and the patient experienced complete resolution of his pre-operative claudication symptoms. Extension of prior Luque plate instrumented fusion can be accomplished minimally invasively without removing the plates themselves, resulting in greater operative efficiency and less surgical morbidity.

PMID:38420078 | PMC:PMC10899093 | DOI:10.7759/cureus.53120

The London Spine Unit : the highest rated spinal facility on Harley Street UK

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Minimally Invasive Revision of Luque Plate Instrumentation: A Case Report

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Cureus. 2024 Jan 28;16(1):e53120. doi: 10.7759/cureus.53120. eCollection 2024 Jan.ABSTRACTExtension of existing spinal fusions may necessitate the removal of or linkage to prior constructs. Knowledge of previously placed instrumentation is critical to success in these revision scenarios. The Luque spinal instrumentation system, developed in the late 1980s, is a legacy pedicle screw and plate system that

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