Accidental anterior longitudinal ligament rupture during lateral lumbar interbody fusion disclosed after posterior corrective fusion surgery resulting in local hyper-lordosis
Objective: To report a case of anterior longitudinal ligament (ALL) injury that was not noticeable during lateral lumbar interbody fusion and was disclosed after posterior corrective fusion surgery.Case presentation: After performing lateral lumbar interbody fusion followed by posterior corrective f...
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| Published in: | Journal of Rural Medicine Vol. 16; no. 2; pp. 111 - 114 |
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| Format: | Journal Article |
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2021
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| Abstract | Objective: To report a case of anterior longitudinal ligament (ALL) injury that was not noticeable during lateral lumbar interbody fusion and was disclosed after posterior corrective fusion surgery.Case presentation: After performing lateral lumbar interbody fusion followed by posterior corrective fusion surgery, we observed an anterior longitudinal ligament rupture that required additional surgery. Postoperative pain in the left lower limb and muscle weakness due to nerve traction appeared, but this was improved by stabilization between the vertebral bodies.Conclusion: Unidentified anterior longitudinal ligament rupture can result in unexpected local lordosis during posterior surgery, possibly related to lower extremity palsy. Therefore, checking for possible rupture during and after anterior surgery is important. If the ALL damage is disclosed before posterior surgery, the proper surgical strategy for the posterior surgery must be considered. |
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| AbstractList | [Abstract] [Objective :] To report a case of anterior longitudinal ligament (ALL) injury that was not noticeable during lateral lumbar interbody fusion and was disclosed after posterior corrective fusion surgery. [Case presentation :] After performing lateral lumbar interbody fusion followed by posterior corrective fusion surgery, we observed an anterior longitudinal ligament rupture that required additional surgery. Postoperative pain in the left lower limb and muscle weakness due to nerve traction appeared, but this was improved by stabilization between the vertebral bodies. [Conclusion :] Unidentified anterior longitudinal ligament rupture can result in unexpected local lordosis during posterior surgery, possibly related to lower extremity palsy. Therefore, checking for possible rupture during and after anterior surgery is important. If the ALL damage is disclosed before posterior surgery, the proper surgical strategy for the posterior surgery must be considered. Objective: To report a case of anterior longitudinal ligament (ALL) injury that was not noticeable during lateral lumbar interbody fusion and was disclosed after posterior corrective fusion surgery.Case presentation: After performing lateral lumbar interbody fusion followed by posterior corrective fusion surgery, we observed an anterior longitudinal ligament rupture that required additional surgery. Postoperative pain in the left lower limb and muscle weakness due to nerve traction appeared, but this was improved by stabilization between the vertebral bodies.Conclusion: Unidentified anterior longitudinal ligament rupture can result in unexpected local lordosis during posterior surgery, possibly related to lower extremity palsy. Therefore, checking for possible rupture during and after anterior surgery is important. If the ALL damage is disclosed before posterior surgery, the proper surgical strategy for the posterior surgery must be considered. Objective: To report a case of anterior longitudinal ligament (ALL) injury that was not noticeable during lateral lumbar interbody fusion and was disclosed after posterior corrective fusion surgery. Case presentation: After performing lateral lumbar interbody fusion followed by posterior corrective fusion surgery, we observed an anterior longitudinal ligament rupture that required additional surgery. Postoperative pain in the left lower limb and muscle weakness due to nerve traction appeared, but this was improved by stabilization between the vertebral bodies. Conclusion: Unidentified anterior longitudinal ligament rupture can result in unexpected local lordosis during posterior surgery, possibly related to lower extremity palsy. Therefore, checking for possible rupture during and after anterior surgery is important. If the ALL damage is disclosed before posterior surgery, the proper surgical strategy for the posterior surgery must be considered. To report a case of anterior longitudinal ligament (ALL) injury that was not noticeable during lateral lumbar interbody fusion and was disclosed after posterior corrective fusion surgery. After performing lateral lumbar interbody fusion followed by posterior corrective fusion surgery, we observed an anterior longitudinal ligament rupture that required additional surgery. Postoperative pain in the left lower limb and muscle weakness due to nerve traction appeared, but this was improved by stabilization between the vertebral bodies. Unidentified anterior longitudinal ligament rupture can result in unexpected local lordosis during posterior surgery, possibly related to lower extremity palsy. Therefore, checking for possible rupture during and after anterior surgery is important. If the ALL damage is disclosed before posterior surgery, the proper surgical strategy for the posterior surgery must be considered. |
| Author | Takahashi, Hiroshi Abe, Tetsuya Noguchi, Hiroshi Koda, Masao Miura, Kousei Funayama, Toru Shibao, Yosuke Mataki, Kentaro Yamazaki, Masashi |
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| Keywords | allograft and fibula anterior longitudinal ligament adult spinal deformity |
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| References | 4. Laouissat F , Sebaaly A , Gehrchen M , et al. Classification of normal sagittal spine alignment: refounding the Roussouly classification. Eur Spine J2018; 27: 2002–2011. 9. Yamamura R , Kudo Y , Matsuoka A , et al. Anterior column reconstruction performed for complete anterior longitudinal ligament rupture caused by surgical correction with lateral interbody fusion for kyphosis. Spine Surg Relat Res2019; 4: 87–90. 6. Lichtblau PO , Wilson PD . Possible mechanism of aortic rupture in orthopaedic correction of rheumatoid spondylitis. J Bone Joint Surg Am1956; 38-A: 123–127. 1. Rothenfluh DA , Mueller DA , Rothenfluh E , et al. Pelvic incidence-lumbar lordosis mismatch predisposes to adjacent segment disease after lumbar spinal fusion. Eur Spine J2015; 24: 1251–1258. 5. Tatsuno R , Ebata S , Ohba T , et al. The preoperative predictors and postoperative fusion rate at the disc level of anterior longitudinal ligament rupture after lateral interbody fusion. J Spine Res.2017; 8: 1640–1645(in Japanese). 8. Geck MJ , Macagno A , Ponte A , et al. The Ponte procedure: posterior only treatment of Scheuermann’s kyphosis using segmental posterior shortening and pedicle screw instrumentation. J Spinal Disord Tech2007; 20: 586–593. 3. Schwab FJ , Blondel B , Bess S , et al. International Spine Study Group (ISSG)Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine2013; 38: E803–E812. 7. Nakashima H , Kanemura T , Satake K , et al. Factors affecting postoperative sagittal alignment after lateral lumbar interbody fusion in adult spinal deformity: posterior osteotomy, anterior longitudinal ligament rupture, and endplate injury. Asian Spine J2019; 13: 738–745. 2. Cho W , Mason JR , Smith JS , et al. Failure of lumbopelvic fixation after long construct fusions in patients with adult spinal deformity: clinical and radiographic risk factors: clinical article. J Neurosurg Spine2013; 19: 445–453. 1 2 (3) 2013; 38 4 5 6 7 8 9 |
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| Snippet | Objective: To report a case of anterior longitudinal ligament (ALL) injury that was not noticeable during lateral lumbar interbody fusion and was disclosed... [Abstract] [Objective :] To report a case of anterior longitudinal ligament (ALL) injury that was not noticeable during lateral lumbar interbody fusion and was... To report a case of anterior longitudinal ligament (ALL) injury that was not noticeable during lateral lumbar interbody fusion and was disclosed after... Objective: To report a case of anterior longitudinal ligament (ALL) injury that was not noticeable during lateral lumbar interbody fusion and was disclosed... |
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| SubjectTerms | adult spinal deformity allograft and fibula anterior longitudinal ligament Case Report |
| Title | Accidental anterior longitudinal ligament rupture during lateral lumbar interbody fusion disclosed after posterior corrective fusion surgery resulting in local hyper-lordosis |
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