Intradiscal Osteotomy and Bilateral Expandable Transforaminal Interbody Fusion Cages for Iatrogenic Kyphotic Deformity: A Technical Report Article Swipe
Joseph S. Hudson
,
Aimé Parra Legarreta
,
Daryl P. Fields
,
Hansen Deng
,
David J. McCarthy
,
Roberta K. Sefcik
,
Nitin Agarwal
,
D. Kojo Hamilton
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1055/s-0044-1787084
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1055/s-0044-1787084
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.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1055/s-0044-1787084
- http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0044-1787084.pdf
- OA Status
- hybrid
- Cited By
- 2
- References
- 13
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399037899
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4399037899Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1055/s-0044-1787084Digital Object Identifier
- Title
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Intradiscal Osteotomy and Bilateral Expandable Transforaminal Interbody Fusion Cages for Iatrogenic Kyphotic Deformity: A Technical ReportWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
-
2024-05-27Full publication date if available
- Authors
-
Joseph S. Hudson, Aimé Parra Legarreta, Daryl P. Fields, Hansen Deng, David J. McCarthy, Roberta K. Sefcik, Nitin Agarwal, D. Kojo HamiltonList of authors in order
- Landing page
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https://doi.org/10.1055/s-0044-1787084Publisher landing page
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0044-1787084.pdfDirect link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
- OA URL
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0044-1787084.pdfDirect OA link when available
- Concepts
-
Medicine, Osteotomy, Deformity, Surgery, Spinal fusion, OrthodonticsTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2025: 2Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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