• World Neurosurg · Nov 2020

    Case Reports

    Transforaminal Endoscopic Solutions for ALIF Complications.

    • Albert E Telfeian, Jian Shen, Elias Shaaya, Adetokunbo Oyelese, Jared Fridley, and Ziya Gokaslan.
    • Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA. Electronic address: ATelfeian@Lifespan.org.
    • World Neurosurg. 2020 Nov 1; 143: e122-e126.

    BackgroundAnterior lumbar interbody fusion (ALIF) is a widely performed lumbar fusion procedure especially suited for treating lower lumbar degenerative disk disease, discogenic disease, and revision of failed posterior fusion. Advantages of the technique include maximizing implant size and correction of lordosis, and disadvantages include approach-related complications such as retrograde ejaculation, visceral injury, and vascular injury.MethodsTransforaminal endoscopic spine surgery is an effective minimally invasive surgical approach that can be utilized to treat many complications of complex spine procedures.ResultsReported here are 2 cases illustrating the success of treating recurrent lumbar radiculopathy with transforaminal endoscopic spine surgery as a minimally invasive solution to an ALIF complication.ConclusionsTransforaminal endoscopic spine surgery is suggested here as a possible treatment approach for lumbar radiculopathy after ALIF.Copyright © 2020 Elsevier Inc. All rights reserved.

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