Surgical treatment of high-dysplastic developmental spondylolisthesis in a child: A case report

Abstract

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Case Report: This case describes a 12-year-old girl with high-grade dysplastic L5-S1 spondylolisthesis with instability pain, managed with uninstrumented in situ circumferential fusion. The patient showed excellent clinical, functional and radiological outcomes at followup of 48th month. Since, plain radiographs and conventional computed tomography (CT) scan failed to show convincing anterior intercorporal fusion, we did fusion analysis with a multi-slice helical tomography scan with multiplanar reconstruction. The reconstructed multiplanar images defined a good posterolateral and anterior intercorporal fusion, Conclusion: Uninstrumented in situ circumferential fusion is a safe and effective surgical option in the management of high-grade L5-S1 dysplastic spondylolisthesis in children and adolescents. Multi-slice helical CT scan with multiplanar reconstruction is the modality of choice in the evaluation of interbody fusion and its progression. IJCRI publishes