Turkish Neurosurgery 2006 , Vol 16 , Num 3
Lumbosacral Spondyloptosis Treated By Two-Staged Fusion in Situ Operation: A Case Report
Erhan EMEL1, Fahri ÖZER3, Feyza KARAGÖZ GÜZEY1, İbrahim ALATAŞ1, Deniz GÜZEY2
1Departments of Neurosurgery, Vakif Gureba Training Hospital, Istanbul
2Departments 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

Corresponding author : Feyza Karagöz Güzey, fkarag@yahoo.com