Lumbosacral spondyloptosis treated by two-staged fusion in situ operation: A case report


EMEL E., Özer F., KARAGÖZ GÜZEY F., Alatas I., Güzey D.

Turkish Neurosurgery, cilt.16, sa.3, ss.145-149, 2006 (Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 16 Sayı: 3
  • Basım Tarihi: 2006
  • Dergi Adı: Turkish Neurosurgery
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.145-149
  • Anahtar Kelimeler: Spinal fusion, Spinal instrumentation, Spondylolisthesis, Spondyloptosis
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: Various operation techniques have been performed for treatment of lumbosacral spondyloptosis. However, there is not a standard treatment strategy because the disease is rare and the reported cases are in small series of other high-grade spondylolistheses. Method: A 28-year-old lady with lumbosacral spondyloptosis was treated by a two-staged operation. A fibular allograft was first introduced into the L5 and S1 bodies by an anterior approach. Afterwards, posterior decompression, posterolateral fusion, and transpedicular screw fixation were performed. Results: Complaints of the patient gradually resolved in 6 months. She remained symptom-free at the 51-month follow-up and the deformity had not progressed. Conclusion: The method performed in the patient presented here is a technically reliable and safe method providing adequate decompression, solid fusion and long-term stabilization in L5-S1 spondyloptosis.