| CASE REPORT |
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| Year : 2011 | Volume
: 2
| Issue : 2 | Page : 89-92 |
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One-stage surgery through posterior approach-for L5-S1 spondyloptosis
Hikmet Turan Suslu1, Erhan Celikoglu1, Ali Borekci1, Tufan Hicdonmez1, Hüsnü Suslu2
1 Neurosurgery Clinic, Dr. Lutfi Kirdar Kartal Research and Training Hospital, Istanbul, Turkey
2 Anesthesiogly Clinic, Dr. Lutfi Kirdar Kartal Research and Training Hospital, Istanbul, Turkey
Correspondence Address:
Hikmet Turan Suslu
Neurosurgery Clinic, Dr. Lutfi Kirdar Kartal Research and Training Hospital Kartal - Istanbul
Turkey
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0974-8237.100066
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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. |
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