Issue release date: 12.11.2024
Turkish Neurosurgery
2006 , Vol 16 , Num 3
Lumbosacral Spondyloptosis Treated By Two-Staged Fusion in Situ Operation: A Case Report
1Departments of Neurosurgery, Vakif Gureba Training Hospital, Istanbul2Departments of II. General Surgery, Vakif Gureba Training Hospital, Istanbul
3Departments of Neurosurgery, VKV American Hospital, Istanbul, Turkey 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: A28-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.
Keywords : spondyloptosis, spondylolisthesis, spinal fusion, spinal instrumentation