PT - JOURNAL ARTICLE AU - Khoueir, Paul AU - Wang, Michael Y. TI - Posterior Dynamic Stabilization as a Salvage Procedure for Lumbar Facet Degeneration Following Total Disc Arthroplasty: Case report AID - 10.1016/SASJ-2007-0103-CR-R2 DP - 2007 Jan 01 TA - International Journal of Spine Surgery PG - 143--146 VI - 1 IP - 4 4099 - https://www.ijssurgery.com/content/1/4/143.short 4100 - https://www.ijssurgery.com/content/1/4/143.full SO - Int J Spine Surg2007 Jan 01; 1 AB - Following an L5–S1 SB Charité disc III implantation, a 37-year-old female patient developed intractable radicular pain in the left L5 distribution. The patient underwent a minimally invasive foraminotomy, and her symptoms improved significantly. However, following recurrence of radicular pain, she showed signs of an L5–S1 facet degeneration and recurrent nerve root compression from hypertrophied synovium. A partial facetectomy was then performed to completely decompress the L5 root with supplemental posterior dynamic stabilization using a pedicle-based flexible titanium rod system. To date, the patient remains free of symptoms. Although posterolateral fusion would have been a viable option, the application of a posterior dynamic system permitted segmental motion preservation.