Application of Lateral Approach for the Removal of Migrated Interbody Cage: Taphole and Fixing Technique.
10.14245/kjs.2017.14.1.23
- Author:
Jae Sung EOM
1
;
Ikchan JEON
;
Sang Woo KIM
Author Information
1. Department of Neurosurgery, Yeungnam University Hospital, Yeungnam University College of Medicine, Daegu, Korea. jicns@hanmail.net
- Publication Type:Original Article
- Keywords:
Lateral approach;
Reoperation;
Device removal;
Lumbar
- MeSH:
Device Removal;
Methods;
Reoperation
- From:Korean Journal of Spine
2017;14(1):23-26
- CountryRepublic of Korea
- Language:English
-
Abstract:
When a revision surgery related with removal of failed interbody cage is required, going through the previous passage can lead to a higher risk of neurological deficits or incidental dural injuries. Recently, the lateral approach has become a popular method instead of the conventional anterior or posterior approaches. The lateral approach is also useful method to remove failed interbody cage previously placed and re-do interbody fusion with lower risks compared to revision surgery via previous passage. However, there is still some difficulty in retrieving the interbody cage from the intervertebral space because of no spacious passage, subsidence, and uncontrolled movable cage. In this study, we introduce our experience that we removed failed interbody cage more easily with only the simple additional steps of making a taphole and fixing the cage using a thread-tipped stick.
