Open AccessOne-stage surgery through posterior approach-for L5-S1 spondyloptosis
Author(s) -
Hikmet Turan Süslü,
Erhan Çelikoğlu,
Ali Börekci,
Tufan Hiçdönmez,
Hüsnü Süslü
Publication year - 2011
Publication title -
journal of craniovertebral junction and spine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 23
eISSN - 0976-9285
pISSN - 0974-8237
DOI - 10.4103/0974-8237.100066
Subject(s) - medicine , surgery , spondylolisthesis , laminectomy , lumbosacral joint , reduction (mathematics) , stage (stratigraphy) , spinal cord , lumbar , geometry , mathematics , psychiatry , paleontology , biology
Grade 5 spondylolisthesis or spondyloptosis is a rare condition. Generally, the surgical management of spondyloptosis includes multi-staged procedures instead of one-staged procedures. One-stage treatment for spondyloptosis is very rare. A 15-year-old girl with L5-S1 spondyloptosis was admitted with severe low back pain. There was no history of trauma. The patient underwent L5 laminectomy, L5-S1 discectomy, resection of sacral dome, reduction, L3-L4-L5-S1 pedicular screw fixation, and interbody-posterolateral fusion through the posterior approach. The reduction was maintained with bilateral L5-S1 discectomy, resection of the sacral dome, and transpedicular instrumentation from L3 to S1. In this particular case, one-staged approach was adequate for the treatment of L5-S1 spondyloptosis. One-staged surgery using the posterior approach may be adequate for the treatment of L5-S1 spondyloptosis while avoiding the risks inherent in anterior approaches.