One-stage surgery through posterior approach-for L5-S1 spondyloptosis

Abstract

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.

Acute Traumatic Spondyloptosis: A Case Report

“…ATS requires reconstructive surgery to restore stability and alleviate spine and spinal canal deformities. Due to the complex nature of the injury and associated complications, treatment generally requires a multi-staged procedure [ 8 ]. This case was no exception; it was determined that a two-stage procedure was necessary to provide stabilization to the lumbar spine and prevent neurologic impairment.…”