Transforaminal Endoscopic Decompression for Displaced End Plate Fracture After Lateral Lumbar Interbody Fusion: Technical Note

World Neurosurg. 2017 Oct;106:26-29. doi: 10.1016/j.wneu.2017.06.084. Epub 2017 Jun 20.

Abstract

Lateral lumbar interbody fusion is a minimally invasive approach to anterior spinal column fusion, deformity correction, and indirect decompression of the lumbar spine. A rarely reported possible complication of the procedure is end plate fracture, which has the potential for nerve root compression. Here we present a case of end plate fracture and nerve compression after stand-alone lateral lumbar interbody fusion, its diagnosis, and its subsequent successful treatment with transforaminal endoscopic spine surgery. The case highlights the possible role for minimally invasive endoscopic surgery as a rescue procedure after fusion complication.

Keywords: End plate fracture; Endoscopic spine surgery; Lateral lumbar interbody fusion; Minimally invasive; Transforaminal; XLIF.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bone Plates* / adverse effects
  • Decompression, Surgical / methods*
  • Endoscopy / methods
  • Humans
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / surgery*
  • Male
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery*
  • Prosthesis Failure* / adverse effects
  • Spinal Fusion* / adverse effects