Posterior Dynamic Stabilization as a Salvage Procedure for Lumbar Facet Degeneration Following Total Disc Arthroplasty. Case report

Paul Khoueir; Michael Y. Wang

doi:10.1016/S1935-9810(07)70060-9

Posterior Dynamic Stabilization as a Salvage Procedure for Lumbar Facet Degeneration Following Total Disc Arthroplasty. Case report

Paul Khoueir, Michael Y. Wang

Neurological Surgery

Research output: Contribution to journal › Article

2 Scopus citations

Abstract

Following an L5-S1 SB Charité disc III implantation, a 37-year-old female patient developed intractable radicular pain in the left L5 distribution. The patient underwent a minimally invasive foraminotomy, and her symptoms improved significantly. However, following recurrence of radicular pain, she showed signs of an L5-S1 facet degeneration and recurrent nerve root compression from hypertrophied synovium. A partial facetectomy was then performed to completely decompress the L5 root with supplemental posterior dynamic stabilization using a pedicle-based flexible titanium rod system. To date, the patient remains free of symptoms. Although posterolateral fusion would have been a viable option, the application of a posterior dynamic system permitted segmental motion preservation.

Original language	English (US)
Pages (from-to)	143-146
Number of pages	4
Journal	SAS Journal
Volume	1
Issue number	4
DOIs	https://doi.org/10.1016/S1935-9810(07)70060-9
State	Published - Dec 1 2007

Keywords

complications
Disc arthroplasty
facet disease
lumbar spine
posterior dynamic stabilization
revision surgery

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

Access to Document

10.1016/S1935-9810(07)70060-9

Fingerprint Dive into the research topics of 'Posterior Dynamic Stabilization as a Salvage Procedure for Lumbar Facet Degeneration Following Total Disc Arthroplasty. Case report'. Together they form a unique fingerprint.

Cite this

Khoueir, P., & Wang, M. Y. (2007). Posterior Dynamic Stabilization as a Salvage Procedure for Lumbar Facet Degeneration Following Total Disc Arthroplasty. Case report. SAS Journal, 1(4), 143-146. https://doi.org/10.1016/S1935-9810(07)70060-9

@article{5184a765a03d469c8fbb0c3a233e2a59,

title = "Posterior Dynamic Stabilization as a Salvage Procedure for Lumbar Facet Degeneration Following Total Disc Arthroplasty. Case report",

abstract = "Following an L5-S1 SB Charit{\'e} disc III implantation, a 37-year-old female patient developed intractable radicular pain in the left L5 distribution. The patient underwent a minimally invasive foraminotomy, and her symptoms improved significantly. However, following recurrence of radicular pain, she showed signs of an L5-S1 facet degeneration and recurrent nerve root compression from hypertrophied synovium. A partial facetectomy was then performed to completely decompress the L5 root with supplemental posterior dynamic stabilization using a pedicle-based flexible titanium rod system. To date, the patient remains free of symptoms. Although posterolateral fusion would have been a viable option, the application of a posterior dynamic system permitted segmental motion preservation.",

keywords = "complications, Disc arthroplasty, facet disease, lumbar spine, posterior dynamic stabilization, revision surgery",

author = "Paul Khoueir and Wang, {Michael Y.}",

year = "2007",

month = dec,

day = "1",

doi = "10.1016/S1935-9810(07)70060-9",

language = "English (US)",

volume = "1",

pages = "143--146",

journal = "International Journal of Spine Surgery",

issn = "2211-4599",

publisher = "Elsevier USA",

number = "4",

}

TY - JOUR

T1 - Posterior Dynamic Stabilization as a Salvage Procedure for Lumbar Facet Degeneration Following Total Disc Arthroplasty. Case report

AU - Khoueir, Paul

AU - Wang, Michael Y.

PY - 2007/12/1

Y1 - 2007/12/1

N2 - Following an L5-S1 SB Charité disc III implantation, a 37-year-old female patient developed intractable radicular pain in the left L5 distribution. The patient underwent a minimally invasive foraminotomy, and her symptoms improved significantly. However, following recurrence of radicular pain, she showed signs of an L5-S1 facet degeneration and recurrent nerve root compression from hypertrophied synovium. A partial facetectomy was then performed to completely decompress the L5 root with supplemental posterior dynamic stabilization using a pedicle-based flexible titanium rod system. To date, the patient remains free of symptoms. Although posterolateral fusion would have been a viable option, the application of a posterior dynamic system permitted segmental motion preservation.

AB - Following an L5-S1 SB Charité disc III implantation, a 37-year-old female patient developed intractable radicular pain in the left L5 distribution. The patient underwent a minimally invasive foraminotomy, and her symptoms improved significantly. However, following recurrence of radicular pain, she showed signs of an L5-S1 facet degeneration and recurrent nerve root compression from hypertrophied synovium. A partial facetectomy was then performed to completely decompress the L5 root with supplemental posterior dynamic stabilization using a pedicle-based flexible titanium rod system. To date, the patient remains free of symptoms. Although posterolateral fusion would have been a viable option, the application of a posterior dynamic system permitted segmental motion preservation.

KW - complications

KW - Disc arthroplasty

KW - facet disease

KW - lumbar spine

KW - posterior dynamic stabilization

KW - revision surgery

UR - http://www.scopus.com/inward/record.url?scp=77949800986&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77949800986&partnerID=8YFLogxK

U2 - 10.1016/S1935-9810(07)70060-9

DO - 10.1016/S1935-9810(07)70060-9

M3 - Article

AN - SCOPUS:77949800986

VL - 1

SP - 143

EP - 146

JO - International Journal of Spine Surgery

JF - International Journal of Spine Surgery

SN - 2211-4599

IS - 4

ER -