19 Harley St, London, W1G 9QJ, UK

Revision of a lumbar disc arthroplasty following late infection

Anterior removal of a lumbar total disc replacement implant is often a very technically demanding procedure. The anterior retroperitoneal anatomy is prone to scarring, limiting remobilization and making a direct anterior exposure above the L5-S1 level difficult if not impossible to achieve safely. Anterolateral approach strategies can be more safely achieved at L4-L5 and above, but may require vertebral osteotomy in order to remove a keeled prosthesis. Successful conversion to a fusion with implant removal can be achieved, even when osteotomy is needed for implant removal. This Grand Rounds case presentation involves an unusual late retroperitoneal abscess following two-level TDR with direct extension to one of the implants, and the subsequent nonoperative and operative management. Removal of a well-fixed keeled implant at the L4-L5 level following nonoperative treatment of a surrounding retroperitoneal abscess and conversion to fusion represents close to, if not a ‘worst-case’ scenario for revision TDR. However, with proper preoperative planning and surgical experience, a safe and successful procedure can be the end result

Keywords : Abscess,Adult,adverse effects,Arthroplasty,Arthroplasty,Replacement,diagnostic imaging,Disability Evaluation,etiology,Gastrointestinal Diseases,Humans,Intervertebral Disc,Intervertebral Disc Displacement,Joint Diseases,Low Back Pain,Lumbar Vertebrae,Male,Osteotomy,Radiography,Reoperation,Retroperitoneal Space,Spinal Fusion,Spine,Staphylococcal Infections,surgery,Total Disc Replacement,Treatment Outcome,, Lumbar,Disc,Arthroplasty, zydol tablets what are they for

Date of Publication : 2010 May

Authors : Spivak JM;Petrizzo AM;

Organisation : NYU Hospital for Joint Diseases Spine Center, 301 East 17th Street, New York, NY 10003, USA. jeffrey.spivak@nyumc.org

Journal of Publication : Eur Spine J

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/19937351

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Revision of a lumbar disc arthroplasty following late infection | London spine clinic shoulder brace

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810