{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T08:01:50Z","timestamp":1781164910816,"version":"3.54.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Transforaminal lumbar interbody fusion (TLIF) is a widely accepted surgical technique for the management of degenerative lumbar spondylolisthesis. The procedure provides circumferential decompression, restoration of disc height, and segmental stabilization. Despite favorable outcomes, complications such as interbody cage migration or posterior cage back-out may occur, compromising surgical success and necessitating revision surgery.\n\nCase Report: We present the case of a 45-year-old male with symptomatic degenerative L4\u2013L5 spondylolisthesis who underwent minimally invasive TLIF (MIS-TLIF) after failure of conservative treatment. Postoperatively, the patient developed posterior migration of the interbody cage with neural compression leading to cauda equina syndrome. Revision MIS-LTLIF (MIS-TLIF using a large-footprint cage) was performed with the removal of the migrated cage of size 9 \u00d7 22 mm and insertion of a larger-footprint interbody cage of size 10 \u00d7 40 mm following meticulous bilateral disc space clearance and endplate preparation. Post-revision surgery imaging demonstrated stable implant positioning, and the patient showed significant clinical improvement without further complications.\n\nConclusion: Interbody cage back-out following TLIF is a preventable complication. Inadequate disc space preparation and selection of a suboptimal cage footprint may significantly contribute to cage migration. Proper surgical technique and appropriate implant choice are essential to ensure construct stability and favorable clinical outcomes.\n\nKeywords: Degenerative spondylolisthesis, transforaminal lumbar interbody fusion, LTLIF, cage migration, lumbar spine, revision spine surgery<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i06.7502","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T07:47:32Z","timestamp":1781164052000},"page":"447-451","source":"Crossref","is-referenced-by-count":0,"title":["Cauda Equina Syndrome Following Posterior Interbody Cage Migration after TLIF: A Rare Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Ayush","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, Dr. Babasaheb Ambedkar Memorial Hospital, Mumbai, Maharashtra, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandan","family":"Marathe","sequence":"additional","affiliation":[{"name":"Synapse Spine Pvt Ltd., Mumbai, Maharashtra, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubham","family":"Kadam","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Dr. Babasaheb Ambedkar Memorial Hospital, Mumbai, Maharashtra, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajit","family":"Rampure","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Dr. Babasaheb Ambedkar Memorial Hospital, Mumbai, Maharashtra, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navnath Sambhaji","family":"Jawale","sequence":"additional","affiliation":[{"name":"Synapse Spine Pvt Ltd., Mumbai, Maharashtra, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T07:47:51Z","timestamp":1781164071000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/06\/cauda-equina-syndrome-following-posterior-interbody-cage-migration-after-tlif-a-rare-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i06.7502","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}