Is transforaminal retrieval of intradiscal deeply seated broken surgical knife blade all time pars sparing? A case report
| العنوان: | Is transforaminal retrieval of intradiscal deeply seated broken surgical knife blade all time pars sparing? A case report |
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| المؤلفون: | Abolfazl Rahimizadeh, Kaveh Haddadi |
| المصدر: | International Journal of Surgery Case Reports |
| بيانات النشر: | Elsevier BV, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | medicine.medical_specialty, Knife blade, Pars sparing, business.industry, Lumbar discectomy, medicine.medical_treatment, food and beverages, Case Report, TLIF, transforaminal lumbar inter body fusion, medicine.disease, Surgery, 03 medical and health sciences, surgical procedures, operative, 0302 clinical medicine, Surgical knife, Discectomy, medicine, Disc space, 030212 general & internal medicine, Foreign body, business, 030217 neurology & neurosurgery |
| الوصف: | Highlights • A surgical blade broken in the disc space during discectomy can usually be removed with sufficient time and patience during the initial surgery. • The transforaminal approach offers a number of advantages compared with anterior approaches. • In particular, it avoids entering the abdominal cavity and does not require an access surgeon. • Sometimes because of better exposure resection of pars and then fusion surgery avoid inevitable. Background One risk accompanying with Lumbar discectomy is breaking of the surgical scalpel during discectomy. Greatest of the broken blades can be detached during the first surgery. Conversely, in few cases, surgeon’s efforts might be ineffective, causing in engaged foreign body in the disc space. Works regarding this matter is infrequent, and there are no exclusive strategies to discourse this complication. Presentation of case A 26-year-old female with L5-S1 left disc sequestration and plantar flexion disturbance, underwent a one level hemilaminectomy for lumbar disc herniation. The knife blade was broken in the disc space and could not be found despite 3 h consumed on its tried removal by her surgeon. Transforaminal path as an unconventional access strip for its removal is planned, but pars inter articularis was not saving intact and fusion process had done.The patient was discharged a day after blade removal and fusion surgery is doing well now. Conclusions The transforaminal route might be a harmless and informal substitute corridor for all intradiscal retained foreign bodies including a broken blade. Sometimes because of better exposure especially in deeply seated material, resection of pars and then fusion surgery avoid inevitable. |
| تدمد: | 2210-2612 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8776d8a1fcf78cf6580fbbf2881c8e6fTest https://doi.org/10.1016/j.ijscr.2015.12.040Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8776d8a1fcf78cf6580fbbf2881c8e6f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22102612 |
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