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KMID : 1148120170070020075
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Journal of Advanced Spine Surgery
2017 Volume.7 No. 2 p.75 ~ p.79
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Vertebral Fracture After Direct Lateral Lumbar Interbody Fusion
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Koo Ki-Hyoung
Kim Jae-Hyun
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Abstract
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A 77-year-old female suffering from severe degenerative scoliosis, spinal stenosis and lumbar disc herniation underwent Direct lateral lumbar interbody fusion (DLIF) at L2-4. On the 3rd postoperative day, she complained of severe back pain without any trauma history. Simple radiograph revealed L3 vertebral fracture and cage subsidence. Pain was subsided after conservative treatment including TLSO and medication. Radiographic union was achieved at fractured vertebra after 3 months. Solid fusion was observed at operated level after 6 months. Patient has visited our clinic without any pain. DLIF is one of novel minimally invasive spine procedures available today. It is designed to maximize benefits and minimize risks of other traditional techniques such as anterior approach and posterior approach. However, there can be some risk of cage subsidence and vertebral fracture after DLIF. Therefore, care should be taken to avoid cage subsidence during the operation.
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KEYWORD
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lumbar spine, degenerative lumbar disease, direct lateral lumbar interbody fusion, cage subsidence, vertebral fracture
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FullTexts / Linksout information
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Listed journal information
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