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 |
|---|---|
| Pages (from-to) | 143-146 |
| Number of pages | 4 |
| Journal | SAS Journal |
| Volume | 1 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 1 2007 |
| Externally published | Yes |
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Keywords
- complications
- Disc arthroplasty
- facet disease
- lumbar spine
- posterior dynamic stabilization
- revision surgery
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Posterior Dynamic Stabilization as a Salvage Procedure for Lumbar Facet Degeneration Following Total Disc Arthroplasty. Case report. / Khoueir, Paul; Wang, Michael Y.
In: SAS Journal, Vol. 1, No. 4, 01.12.2007, p. 143-146.Research output: Contribution to journal › Article
}
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 -