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- Title
Revisionsstrategien bei ventralem Implantatversagen an der LWS am Beispiel von 'stand-alone cages'.
- Authors
Tarhan, T.; Rauschmann, M.
- Abstract
This article gives a review of the possible revision strategies after repeated operative treatment of degenerative spinal diseases using stand-alone cages. Own clinical experiences and reports from the literature were taken into consideration. Dorsal stabilization is the main consideration for all access routs even if it can be discussed, albeit controversially, whether ventral removal of an installed cage is justified, because this contains a significantly higher perioperative risk. The increased risk of neurological complications by dorsal revision and for vascular complications by ventral access, especially at the L4/5 level must be particularly considered. Clinical data and own experience have shown that in the majority of cases an additional dorsal stabilization should be favored for revision surgery. Currently large clinical studies which deal with the revision problematic of stand-alone cages with respect to the access route are still lacking.
- Subjects
SPINAL surgery; SPINE diseases; LUMBAR vertebrae diseases; THORACIC vertebrae; OPERATIVE surgery
- Publication
Der Orthopäde, 2011, Vol 40, Issue 2, p148
- ISSN
0085-4530
- Publication type
Article
- DOI
10.1007/s00132-010-1714-1