Successful laparoscopic exploration and screw extraction for intractable pain after anterior iliosacral arthrodesis.
We report on the case of a patient suffering from L5 radicular pain after previous anterior sacroiliac arthrodesis using 2, 4-hole plates. Technical investigations indicated loosening and migration of a screw from the upper sacroiliac plate, irritating the L5 nerve root. The problem was managed by removal of the screw using an anterior transperitoneal laparoscopic approach.
Peeters
Geert
G
Department of Laparoscopic, Bariatric Surgery, AZ Sint-Blasius, Dendermonde, Belgium. geert.peeters@azsintblasius.be
Geert
Peeters
P
Govaers
Kris
K
Kris
Govaers
G
Himpens
Jacques
J
Jacques
Himpens
H
D000328:Adult; D001174:Arthrodesis / Q000009:adverse effects*; D001863:Bone Screws; D005260:Female; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009408:Nerve Compression Syndromes / Q000150:complications / Q000601:surgery*; D010148:Intractable Pain / Q000209:etiology / Q000601:surgery*; D010149:Postoperative Pain / Q000532:radiotherapy / Q000601:surgery*; D010384:Pelvic Bones / Q000293:injuries / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation; D012446:Sacroiliac Joint / Q000601:surgery; D013127:Spinal Nerves / Q000293:injuries; D016896:Treatment Outcome