• Eur Spine J · Dec 2007

    Case Reports

    Contralateral radiculopathy after transforaminal lumbar interbody fusion.

    • Travis Hunt, Francis H Shen, Christopher I Shaffrey, and Vincent Arlet.
    • Department of Orthopaedic Surgery, University of Virginia, PO Box 800159, Charlottesville, VA 22908-0159, USA.
    • Eur Spine J. 2007 Dec 1;16 Suppl 3:311-4.

    AbstractTransforaminal lumbar interbody fusion (TLIF) is an effective treatment for patients with degenerative spondylolisthesis and degenerative disc disease. Opposite side radiculopathy after the TLIF procedure has been recognized in this institution but has not been addressed in the literature. We present a case of opposite side radiculopathy after the TLIF procedure. We believe that this complication is related to asymptomatic stenosis on the contralateral side that is unmasked by the increased lordosis of the TLIF. The authors recommend increasing both disc height and foraminal height when choosing an interbody graft, and possibly decompressing the opposite foramen when preoperative MRI demonstrates foraminal stenosis.

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