Abstract
Transforaminal 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.
MeSH terms
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Aged
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Cauda Equina / injuries
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Cauda Equina / pathology
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Cauda Equina / physiopathology
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Decompression, Surgical / adverse effects
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Decompression, Surgical / methods
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Female
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Functional Laterality
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Humans
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Internal Fixators / standards
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Intervertebral Disc Displacement / complications
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Intervertebral Disc Displacement / physiopathology
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Intervertebral Disc Displacement / surgery
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Lumbar Vertebrae / diagnostic imaging
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Lumbar Vertebrae / pathology
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Lumbar Vertebrae / surgery*
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Postoperative Complications / etiology*
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Prostheses and Implants / standards
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Radiculopathy / etiology*
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Radiculopathy / pathology
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Radiculopathy / physiopathology
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Radiography
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Spinal Canal / pathology
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Spinal Canal / physiopathology
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Spinal Canal / surgery
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Spinal Fusion / adverse effects*
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Spinal Fusion / methods
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Spinal Nerve Roots / injuries
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Spinal Nerve Roots / pathology
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Spinal Nerve Roots / physiopathology
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Spinal Stenosis / etiology
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Spinal Stenosis / pathology
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Spinal Stenosis / surgery*
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Spondylolisthesis / complications
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Spondylolisthesis / physiopathology
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Spondylolisthesis / surgery*
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Steroids / therapeutic use
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Treatment Outcome
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Zygapophyseal Joint / pathology
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Zygapophyseal Joint / physiopathology
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Zygapophyseal Joint / surgery