Work

Extraction of guide wire breakage from pedicle channel during percutaneous endoscopic posterior lumbar interbody fusion: a case report

Year: 2025

Type: article

Abstract: This report presents a rare case of guidewire fracture during percutaneous endoscopic posterior lumbar interbody fusion (PE-PLIF) and describes the successful retrieval technique. A 49-year-old male with lumbar stenosis and spondylolisthesis underwent PE-PLIF, during which fluoroscopy identified a fractured guidewire within the vertebral body. The fragment was retrieved using endoscopic grasping forceps after removing the pedicle screw, and complete removal was confirmed by fluoroscopy. This case highlights the importance of thorough instrument inspection and careful intraoperative handling to prevent and manage such rare complications in spinal surgery.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf278

Authors: Cheng Li, Yangyang Guo

Institutions: Wangjing Hospital of China Academy of Chinese Medical Sciences, China Academy of Chinese Medical Sciences

Language: English

Topic: Spine and Intervertebral Disc Pathology

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000