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

• Published in: Journal of craniovertebral junction and spine Vol. 2; no. 2; pp. 89 - 92
• Main Authors: Suslu, Hikmet Turan, Celikoglu, Erhan, Borekcı, Ali, Hıcdonmez, Tufan, Suslu, Hüsnü
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01-07-2011; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Back surgery; Case Report; Case studies; Internal reduction; pedicular fixation; Spine; spondylolisthesis; spondyloptosis; Surgery; Surgical techniques; Internal reduction; pedicular fixation; spondylolisthesis; spondyloptosis
• ISSN: 0974-8237; 0976-9285
• DOI: 10.4103/0974-8237.100066

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.