Rahimizadeh A, Malekmohammadi Z, Amirzadeh M, Rahimizadeh S. Retained Lumbar Intradiscal Surgical Knife Blade Retrieved Via Extended Extraforaminal Approach: Case Report and Review. Iran J Neurosurg 2021; 7 (3) :147-152
URL:
http://irjns.org/article-1-267-en.html
1- Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran , a_rahimizadeh@hotmail.com
2- Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran
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● Intradiscal broken surgical scalpel during discectomy is not a very rare scenario and most of us have experienced this complication, at least once.
● If this complication occurs, the surgeon should not become agitated, since he can easily use extraforaminal or extended extraforaminal route for retrieval of the hidden scalpel.
● Surgical microscope is necessary for retrieval.
● If the hidden object cannot be seen via these routes, the surgeon can change the corridor to transforaminal route with removal of the pars interarticularis. Obviously, pedicle screw fixation will be necessary either in the same or another session.
Plain Language Summary
The surgical knife might be broken during simple lumbar discectomy. The authors describe different approaches, including a new corridor for retrieval of the broken scalpel.
Type of Study:
Case report |
Subject:
Spine