Radiculopathy due to Bone Chip Extrusion following Transforaminal Lumbar Interbody Fusion

JOURNAL TITLE: The Journal of Spinal Surgery

Author
1. SJ Balaparameswara Rao
2. JKBC Parthiban
ISSN
2349-0462
DOI
10.5005/jp-journals-10039-1175
Volume
5
Issue
2
Publishing Year
2018
Pages
4
Author Affiliations
    1. Department of Neurosurgery, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
  • Article keywords
    Interbody fusion graft migration, Radiculopathy, Transforaminal lumbar interbody fusion.

    Abstract

    Transforaminal lumbar interbody fusion (TLIF) is a commonly used technique for the treatment of degenerative lumbar spine disease. Success of surgery depends on the fusion that occurs between the vertebral body end plates. Local morselized bone graft is routinely used for achieving fusion with or without a cage or interbody spacer. Complications related to cage migration have frequently been reported. However, migration of bone chips into the neural foramen causing radiculopathy is rare and can be missed if not diagnosed early. Though such complications have been known to occur, they have not been reported frequently. Here, we present one such case of TLIF, who developed radiculopathy in the postoperative period due to migration of bone chips, which was detected early and managed.

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