Intradiscal Osteotomy and Bilateral Expandable Transforaminal Interbody Fusion Cages for Iatrogenic Kyphotic Deformity: A Technical Report
Abstract: Objectives Expandable transforaminal interbody fusion (TLIF) devices have been developed to introduce more segmental lordosis through a narrow operative corridor, but there are concerns about the degree of achievable correction with a small graft footprint. In this report, we describe the technical nuances associated with placing bilateral expandable cages for correction of iatrogenic deformity. Materials and Methods A 60-year-old female with symptomatic global sagittal malalignment and a severe lumbar kyphotic deformity after five prior lumbar surgeries presented to our institution. We performed multilevel posterior column osteotomies, a L3–4 intradiscal osteotomy, and placed bilateral lordotic expandable TLIF cages at the level of maximum segmental kyphosis. Results We achieve a 21-degree correction of the patient's focal kyphotic deformity and restoration of the patient global sagittal alignment. Conclusion This case demonstrates both the feasibility and utility of placing bilateral expandable TLIF cages at a single disc space in the setting of severe focal sagittal malalignment. This technique expands the implant footprint and, when coupled with an intradiscal osteotomy, allows for a significant restoration of segmental lordosis.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Intradiscal Osteotomy and Bilateral Expandable Transforaminal Interbody Fusion Cages for Iatrogenic Kyphotic Deformity: A Technical Report ; volume:19 ; number:02 ; year:2024 ; pages:317-320
Asian journal of neurosurgery ; 19, Heft 02 (2024), 317-320
- Contributor
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Hudson, Joseph S.
Legarreta, Andrew
Fields, Daryl P.
Deng, Hansen
McCarthy, David J.
Sefcik, Roberta
Agarwal, Nitin
Hamilton, David K.
- DOI
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10.1055/s-0044-1787084
- URN
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urn:nbn:de:101:1-2408221113364.700815051955
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:59 AM CEST
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Associated
- Hudson, Joseph S.
- Legarreta, Andrew
- Fields, Daryl P.
- Deng, Hansen
- McCarthy, David J.
- Sefcik, Roberta
- Agarwal, Nitin
- Hamilton, David K.
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