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

• Main Authors: Hikmet Turan Suslu, Erhan Celikoglu, Ali Borekci, Tufan Hicdonmez, Hüsnü Suslu
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2011-01-01
• Series: Journal of Craniovertebral Junction and Spine
• Subjects: Internal reduction; pedicular fixation; spondylolisthesis; spondyloptosis
• Online Access: http://www.jcvjs.com/article.asp?issn=0974-8237;year=2011;volume=2;issue=2;spage=89;epage=92;aulast=Suslu

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.