Abstract

QUILLO-OLVERA, Javier; QUILLO-OLVERA, Diego; QUILLO-RESENDIZ, Javier  and  KIM, Jin-Sung. How to deal with this complication: Intraoperative anterior cage migration in L5-S1 resolved with a lumbar hybrid fusion technique. Cir. cir. [online]. 2021, vol.89, n.5, pp.669-673.  Epub Oct 03, 2021. ISSN 2444-054X.  https://doi.org/10.24875/ciru.20000694.

Anterior cage migration is the most infrequent and dangerous complication seen in posterior lumbar interbody fusion (PLIF) procedures. We report the case of a 74-year-old woman who underwent PLIF at the L5-S1 level. During the surgery, one of the PLIF-cages dislodged anteriorly into the abdominal cavity without vascular injury. An anterior retroperitoneal approach to remove the cage and complete the fusion was made. The patient was discharged 2 weeks later with encouraging clinical results. In a patient hemodynamically stable, removing the cage by a vascular surgeon, and complete the Anterior Lumbar Interbody Fusion could be a feasible option at L5-S1.

Keywords : Anterior lumbar interbody fusion; Cage migration; Complications; Posterior lumbar interbody fusion; Spine surgery.

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