Vertebral Body Fracture after Oblique Lumbar Interbody Fusion in 2 Patients: A Case Report
Journal of Korean Society of Spine Surgery
; : 35-39, 2018.
Article
en En
| WPRIM
| ID: wpr-765593
Biblioteca responsable:
WPRO
ABSTRACT
STUDY DESIGN:
Although the frequency of the oblique lumbar interbody fusion (OLIF) procedure has increased in recent years, reports on its complications remain rare. We report 2 cases of vertebral fracture after OLIF.OBJECTIVES:
We aimed to report 2 cases of coronal vertebral fracture after an OLIF procedure in non-osteoporotic patients without significant trauma, and to review the complications of OLIF. SUMMARY OF LITERATURE REVIEW There is a growing but limited literature describing early postoperative complications after OLIF. MATERIALS ANDMETHODS:
Patient 1 was an obese woman who underwent 2-level OLIF with posterior instrumentation procedures and subsequently experienced 2-level coronal plane fractures. Patient 2 was an elderly man who underwent 3-level OLIF without posterior instrumentation and experienced 1 coronal vertebral fracture. We report vertebral body fracture as a complication of OLIF through these 2 cases.RESULTS:
Patient 1 was treated nonsurgically after the fractures. The fractures healed uneventfully. However, patient 2 underwent posterior instrumented fusion and had a solid bridging bone above and below the fracture. Factors potentially contributing to these fractures are discussed.CONCLUSIONS:
OLIF is an effective procedure for several spinal diseases. However, fracture can occur after OLIF even in non-osteoporotic patients. Factors such as intraoperative end-plate breach, subsidence, cage rolling, and inadequate posterior instrumentation could contribute to the development of fractures after oblique interbody fusion.Palabras clave
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Banco de datos:
WPRIM
Asunto principal:
Complicaciones Posoperatorias
/
Enfermedades de la Columna Vertebral
Límite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Journal of Korean Society of Spine Surgery
Año:
2018
Tipo del documento:
Article