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

Paul Khoueir, Michael Y. Wang

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)143-146
Number of pages4
JournalSAS Journal
Volume1
Issue number4
DOIs
StatePublished - 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

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