Old and New Fashion: Minimally Invasive Spine Surgery for Adjacent Segmental Spinal Stenosis after Luque Sublaminar Wiring and Posterolateral Fusion - Case Report -

Seung-Pyo Suh; Jaewon Lee; Chang-Nam Kang

doi:10.4184/jkss.2014.21.4.179

Journal List > J Korean Soc Spine Surg > v.21(4) > 1076035

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Suh, Lee, and Kang: Old and New Fashion: Minimally Invasive Spine Surgery for Adjacent Segmental Spinal Stenosis after Luque Sublaminar Wiring and Posterolateral Fusion - Case Report -

Case Report

Journal of Korean Spine Surg 2014;21(4):179-182.

Published online: 21 December 2014

DOI: https://doi.org/10.4184/jkss.2014.21.4.179

Old and New Fashion: Minimally Invasive Spine Surgery for Adjacent Segmental Spinal Stenosis after Luque Sublaminar Wiring and Posterolateral Fusion - Case Report -

Seung-Pyo Suh, M.D.^∗, Jaewon Lee, M.D., Chang-Nam Kang, M.D., Ph.D.

^∗Department of Orthopedic Surgery, Sung-Ae Hospital, Seoul, Republic of Korea

Department of Orthopedic Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea

Corresponding author: Chang-Nam Kang, M.D., Ph.D. Department of Orthopedic Surgery, Hanyang University College of Medicine,222 Wangsimni-ro, Seongdong- gu, Seoul 133-791, Republic of Korea TEL: +82-2-2290-8485, FAX: +82-2-2299-3774 E-mail: cnkang65@hanyang.ac.kr

Received 5 April 2014 Revised 21 May 2014 Accepted 18 August 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Study Design

A case report.

Objectives

To report a rare case of minimally invasive spine surgery after sublaminar wiring fixation with Luque rods.

Summary of Literature Review

In the past, sublaminar wiring fixation with Luque rods was believed to be an effective fixation method; however, the development of transpedicular fixation resulted in the discontinuation of this method. Currently, instead of classical surgery using a broad incision, minimally invasive spine surgery is performed, which has a multitude of advantages.

Material and Methods

Initially, the patient underwent Luque sublaminar wiring and posterolateral fusion. After 25 years, minimally invasive TLIF and percutaneous transpedicular fixation were performed for the adjacent segmental spinal stenosis.

Results

A good bone union is developing with an excellent clinical outcome, 14 months after the surgery.

Conclusions

We report a very rare case of a patient who underwent Luque sublaminar wiring and then, 25 years later, had spine surgery with minimally invasive techniques.

Keywords: Luque sublaminar wiring, Adjacent segmental spinal stenosis, Minimally invasive spine surgery

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Fig. 1.

Lumbar spine anteroposterior (A) and lateral (B) radiographs taken at 25 years after operation. There are endplate sclerosis and traction spurs at proximal L2-L3 level. T2 sagittal (C) and axial (D) MRI taken at 25 yeaers after operation show severe spinal stenosis of L2-L3 level and more aggravated than 10 years ago.

Fig. 2.

Lumbar spine anteroposterior (A) and lateral (B) radiographs after minimally invasive TLIF and percutaneous transpedicular fixation were performed. Good bone union without loosening of screws is shown on sagittal (C) and axial (D) CT scan after 14 months of last surgery.

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