Journal of Orthopaedic Surgery (Aug 2009)

Transforaminal Lumbar Interbody Fusion for Failed Graf Ligamentoplasty: A Report of Two Cases

  • Akihito Nagano,
  • Kei Miyamoto,
  • Hirofumi Nishimoto,
  • Hideo Hosoe,
  • Naoki Suzuki,
  • Katsuji Shimizu

DOI
https://doi.org/10.1177/230949900901700221
Journal volume & issue
Vol. 17

Abstract

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We report 2 cases of transforaminal lumbar interbody fusion for failed Graf ligamentoplasty. Both patients had residual or recurrent low back pain and leg pain after Graf ligamentoplasty, caused by lumbar segmental instability or narrowing of their intervertebral foramens. The pain improved markedly after the revision surgery. We recommend transforaminal lumbar interbody fusion for failed Graf ligamentoplasty, as it provides rigid interbody bony fusion and obviates complete exposure of the dural sac or dural tube.