Volume 2 Issue 1
Case Report: Intraoperative Anterior Dislodgement of a Cage into Retroperitoneal Space during Posterior Lumbar Interbody Fusion: a Case Report and Review of Literatures
Chaisiri Chaichankul*, Sakpan Panyaporn and Pawin Gajaseni
Background: Posterior lumbar interbody fusion is acknowledged as the technique designed to take an advantage of making circumferential fusion by a single approach while avoiding the injury to anterior vascular structures. However, due to the increasing usage of the interbody techniques, there are emerging case reports and series of the vascular injury followed by the interbody fusion in addition to ALIF.
Material and methods: The author's demonstrated case by showing the incident during intra-and postoperative period, imaging studies related to the incident, and tried to investigate the incidence to reveal causes of surgery-related anterior cage dislodgement.
Conclusion: To consider risk factors related to the incident of major abdominal vessel injury during PLIF is important. In addition to the disc preparation step, a step of insertion the cage inside intervertebral disc space is also risky especially if two cages or larger cage are planned to be use. The preoperative planning is necessary to reduce this unfavorable complication.
Keywords: Posterior lumbar interbody fusion; Anterior cage dislodgement; Abdominal vascular injury
Cite this Article: Chaichankul C, Panyaporn S, Gajaseni P. Intraoperative Anterior Dislodgement of a Cage into Retroperitoneal Space during Posterior Lumbar Interbody Fusion: a Case Report and Review of Literatures. Int J Ortho Res Ther. 2018;2(1): 005-007.
Published: 16 July 2018
James Choueiry*, Gilbert Maroun, Charbel Kosaify, Mark A. Ghaida, Luke Heinrichs, Edgard Traboulsi, Davide Aliani and Charbel Maroun
Primary hydatidosis of the tibia is a rare disease. In an endemic area, it should be considered in the differential diagnosis of a hypolucent osteolytic lesion on x-ray. If not properly managed, anaphylactic shock may occur intraoperatively, as well as increased recurrence of the disease. This is a case report of a primary tibial hydatid cyst, treated first with curettage and phenolizaton, and then after recurrence, with total knee arthroplasty. We will review the literature of the diagnosis and the treatment of a tibial hydatid cyst.
Cite this Article: Choueiry J, Maroun G, Kosaify C, Ghaida MA, Heinrichs L, et al. Primary Hydatidosis in the Tibia, an Essential Preoperative Diagnosis. Int J Ortho Res Ther. 2018;2(1): 001-004.
Published: 28 February 2018
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