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) |
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Pages (from-to) | 143-146 |
Number of pages | 4 |
Journal | SAS Journal |
Volume | 1 |
Issue number | 4 |
DOIs | |
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