Intradural migration of fusion cage in an isthmic listhesis patient treated with transforaminal lumbar interbody fusion (TLIF): A case report

Authors

Keywords:

Listhesis, Cage migration, Risk factors, Transforaminal lumbar interbody fusion, TLIF, Complication

Abstract

Lumbar listhesis, is defined as a disorder that causes a vertebral body to slip over the one below it. Several surgical decompression and augmented fusion techniques are available for treatment. Transforaminal lumbar interbody fusion (TLIF) is a commonly used surgical technique for degenerative lumbar spondylolisthesis in cases in which conservative care fails to achieve satisfactory spinal fusion. Although TLIF is widely accepted because it is easy to perform and is very safe, cage migration is an important complication, and posterior migration is a serious one. Cage migration can be classified as posterior, anterior, or sagittal forms according to migration direction. An increasing number of the surgeons have encountered cage migration; however, consensus on its cause is lacking. In this report, a case of intradural cage migration with left leg pain is presented, and this complication is discussed in light of related studies.

Downloads

Download data is not yet available.

References

Ishimoto Y, Yoshimura N, Muraki S, Yamada H, Nagata K, Hashizume H, et al. Association of lumbar spondylolisthesis with low back pain and symptomatic lumbar spinal stenosis in a population-based cohort: the Wayakama spine study. Spine (Phila Pa 1976). 2017;42(11):E666–71. doi: 10.1097/BRS.0000000000001960. DOI: https://doi.org/10.1097/BRS.0000000000001960

Liu J, Deng H, Long X, Chen X, Xu R, Liu Z. A comparative study of perioperative complications between transforaminal versus posterior lumbar interbody fusion in degenerative lumbar spondylolisthesis. Eur Spine J. 2016;25(5):1575–80. doi: 10.1007/s00586-015-4086-8. DOI: https://doi.org/10.1007/s00586-015-4086-8

Kayanama M, Hashimoto T, Shigenobu K, Oha F, Ishida T, Yamane S. Non-fusion surgery for degenerative spondylolisthesis using artificial ligament stabilization: surgery indication and clinical results. Spine. 2005;30:588–92. doi: 10.1097/01.brs.0000154766.74637.5e. DOI: https://doi.org/10.1097/01.brs.0000154766.74637.5e

Fan G, Wu X, Yu S, Sun Q, Guan X, Zhang H, et al. Clinical outcomes of posterior lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in three-level degenerative lumbar stenosis. Biomed Res Int. 2016;2016:9540298. doi: 10.1155/2016/9540298. DOI: https://doi.org/10.1155/2016/9540298

Chrastil J, Patel AA. Complications associated with posterior and transforaminal lumbar interbody fusion. J Am Acad Orthop Surg. 2012;20(5):283–91. doi: 10.5435/JAAOS-20-05-283. DOI: https://doi.org/10.5435/JAAOS-20-05-283

Zhao FD, Yang W, Shan Z, Wang J, Chen HX, Hong ZH, et al. Cage migration after transforaminal lumbar interbody fusion and factors related to it. Orthop Surg. 2012;4(4):227–32. doi: 10.1111/os.12004. DOI: https://doi.org/10.1111/os.12004

Wong AP, Smith ZA, Nixon AT, Lawton CD, Dahdaleh NS, Wong RH, et al. Intraoperative and perioperative complications in minimally invasive transforaminal lumbar interbody fusion: a review of 513 patients. J Neurosurgy Spine. 2015;22(5):487–95. doi: 10.3171/2014.10.SPINE14129. DOI: https://doi.org/10.3171/2014.10.SPINE14129

Aoki Y, Yamagata M, Nakajima F, Ikeda Y, Takahashi K. Posterior migration of fusion cages in degenerative lumbar disease treated with transforaminal lumbar interbody fusion: a report of three cases. Spine (Phila Pa 1976). 2009;34(1):E54–8. doi: 10.1097/BRS.0b013e3181918aae. DOI: https://doi.org/10.1097/BRS.0b013e3181918aae

Hey HW, Hee HT. Open and minimally invasive transforaminal interbody fusion: comparison of intermediate results and complications. Asian Spine J. 2015;9(2):185–93. doi: 10.4184/asj.2015.9.2.185. DOI: https://doi.org/10.4184/asj.2015.9.2.185

Aoki Y, Yamagata M, Nakajima F, Ikeda Y, Shimizu K, Yoshihara M, et al. Examining risk factors of posterior migration of fusion cages following transforaminal lumbar interbody fusion: a possible limitation unilateral pedicle screw fixation. J Neurosurg Spine. 2013;13:381–7. doi: 10.3171/2010.3.SPINE09590. DOI: https://doi.org/10.3171/2010.3.SPINE09590

Smith AJ, Arginteanu M, Moore F, Steinberger A, Camins M. Increased incidence of cage migration and nonunion in instrumented transforaminal lumbar interbody fusion with bioabsorbable cages. J Neurosurg Spine. 2010;13:388–93. doi: 10.3171/2010.3.SPINE09587. DOI: https://doi.org/10.3171/2010.3.SPINE09587

Grant JP, Oxland TR, Dvorak MF. Mapping the structural properties of the lumbosacral vertebral endplates. Spine. 2001;26:271–3. doi: 10.1097/00007632-200104150-00012. DOI: https://doi.org/10.1097/00007632-200104150-00012

Labrom RD, Tan JS, Reilly CW, Tredwell SJ, Fisher CG, Oxland TR. The effect of interbody cage positioning on lumbosacral vertebral endplate failure in compression. Spine (Phila Pa 1976). 2005;30(19):E556–61. doi: 10.1097/01.brs.0000181053.38677.c2. DOI: https://doi.org/10.1097/01.brs.0000181053.38677.c2

Downloads

Published

2022-06-30

Issue

Section

Case Report

How to Cite

1.
Kızılay Z, Yay M Özcan, Kara AK, Aydın V. Intradural migration of fusion cage in an isthmic listhesis patient treated with transforaminal lumbar interbody fusion (TLIF): A case report. J Surg Med [Internet]. 2022 Jun. 30 [cited 2024 Apr. 20];6(6):636-9. Available from: https://jsurgmed.com/article/view/1010502