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A surgeon reported the following: "on (b)(6) 2023, a l4-5 bilateral interlaminar decompression and foraminotomy, l4-5 transforaminal lumbar interbody fusion, intervertebral cage, nonsegmental fixation, synthetic bone graft, autogenous bone graft, and posterolateral fusion on patient was performed.(b)(6) 2023 a ct lumbar spine was performed and showed some graft material from the intervertebral disc space had fallen into the neural canal on the left side.(b)(6) 2023 a redo re-exploration of the left l4/5, discectomy, foraminotomy, and additional stabilization with pedicle screw and rod fixation was performed." the surgeon further reported that the patient developed postoperative weakness and numbness with recurrent leg pain.The surgeon has implanted both magnetos flex matrix and magnetos easypack putty.Available information reasonably suggests that the synthetic bone graft may have caused or contributed to a serious injury because the graft migrated into the neural canal and resurgery / revision surgery was required.Therefore, this cases is considered reportable.Note that this case is being reported outside the applicable reporting timeframe.Following an observation identified during a recent mdsap audit, historical complaints are being reassessed for reportability, which led to the identification and submission of this case.
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