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Journals / Journal of Turkish Spinal Surgery / 2013 / Cilt: 24 - Sayı: 3

Tek seans posterior yaklaşımla tedavi edilen l5-s1 spondilopitozis: Alternatif bir teknik

L5-s1 spondyloptosis treated by a single- stage posterior aproach: An alternative technique

A. Ender OFLUOĞLU
Ömer Batu HERGÜNSEL
Serhat BAYDIN
ÖMÜR GÜNALDI
Erhan EMEL
Pages
237–242
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In situ fusion method was proven to be successful for the patient we are presenting.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A 21-year old male patient without any history of trauma presented with complaints of low back pain and limited spine mobility.
📊
Key Findings & Data:A lomber MRI revealed spondylopthosis at L5-S1 level.
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Conclusion & Impact:In situ fusion method was proven to be successful for the patient we are presenting.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A 21-year old male patient without any history of trauma presented with complaints of low back pain and limited spine mobility. On neurological examination, straight leg raising test was positive bilaterally. There were no motor and/or sensory deficits. A lomber MRI revealed spondylopthosis at L5-S1 level. A surgical intervention was planned in which a S1-L5 transcorporeal polyaxial titanium alloy screw and a fibular strut graft were used in order to establish interbody fusion. No surgical complications were observed and the patient was discharged without any complaint. Interbody fusion was observed at 12th month postoperatively. L5-S1 spondylopthosis is a rare spinal disease and treatment modalities are challenging. The efforts to establish reduction may result in neurological deficits and neuropathic pain due to the traction of L5 nerve roots bilaterally. In situ fusion method was proven to be successful for the patient we are presenting.

Özet

21 yaşında erkek hasta, bel ve her iki bacak ağrısı, omurga hareketlerinde kısıtlılık yakınmaları ile kliniğimize başvurdu. Hikayesinde travma öyküsü yoktu. Nörolojik muayenesinde bilateral düz bacak germe testleri pozitifti. Kas gücü ve duyusal muayenesi normaldi. Çekilen lomber manyetik rezonans incelemede L5-S1 spondilopitoz tespit edildi. Hasta cerrahi olarak tedavi edildi. L5-S1 insitu füzyon amacı ile hastaya operasyonda S1-L5 transkorporal poliaksiyel titanyum alaşımlı vida ve fibular uzun kemik şaft allogrefti kullanıldı. Hasta cerrahi komplikasyon olmadan şifa ile taburcu edildi. Birinci yıl kontrolünde L5-S1 mesafesinin füze olduğu görüldü. L5-S1 spondilopitozis nadir görülen bir omurga hastalığı olup cerrahisi zorluklar içermektedir. Redüksiyon çabaları nörolojik defisit ve bilateral L5 kök traksiyonuna bağlı nöropatik ağrılara neden olabilmektedir. Sunmakta olduğumuz hastada uyguladığımız insitu füzyon yöntemi cerrahi olarak başarılı bulunmuştur.

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Cite This Article

OFLUOĞLU, A. E., HERGÜNSEL, Ö. B., BAYDIN, S., GÜNALDI, Ö., EMEL, E. (2013). Tek seans posterior yaklaşımla tedavi edilen l5-s1 spondilopitozis: Alternatif bir teknik. Journal of Turkish Spinal Surgery, Cilt: 24 - Sayı: 3, 237–242. https://ajindex.com/articles/214371

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References (17)

  1. Al-Sebai MW, Al-Khawashki H. Spondylopthosis and multiple-level spondylosis. Eur Spine J 1999; 8: 75- 77
  2. Bohlman HH, Cook SS. One-stage decompression and posterolateral and interbody fusion for lumbosacral spondylopthosis through a posterior approach. J Bone Jo- int Surg 1982; 64-A: 415-418
  3. Boos N, Marchesi D, Zuber K, Aebi M. Treatment of severe spondylolisthesis by reduction and pedicular fi- xation. A 4-6 year follow-up study. Spine 1993; 18: 1655- 1661
  4. Boxall D, Bradford DS, Winter RB, Moe JH. Ma- nagement of severe spondylolisthesis in children and ado- lescents. J Bone Joint Surg 1979;61-A: 479-495
  5. Bradford DS. Point of view for treatment of L5- S1 spondylopthosis by staged L5 resection with reduction and fusion of L4 onto S1 (Gaines procedure). Spine 1994; 19 (17): 1925
  6. DeWald RL, Faut MM, Taddoneld RF, Neuwirth MG. Severe lumbosacral spondylolisthesis in adolescents and children. Reduction and staged circumferential fusi- on. J Bone Joint Surg 1981; 63-A: 619-626
  7. Ferris LR, Ho E, Leong JC. Lumbar spondylopt- hosis. A long term follow-up of three cases. Int Orthop 1990; 14: 139-143
  8. Freeman III BL, Donati NL. Spinal arthrodesis for severe spondylolisthesis in children and adolescents. A long term follow-up study. J Bone Joint Surg 1989; 71A: 594-598
  9. Gaines RW, Nichols WK. Treatment of spond- ylopthosis of two stage L5 and reduction of L4 onto S1. Spine 1985; 10: 680-686
  10. Hanley FN, Knox BD, Ramasastry S, Moossy JJ. Traumatic lumbopelvic spondylopthosis: A case report. J Bone Joint Surg 1993;75-A:1695-1698
  11. Hensinger RN. Current concepts review: Spond- ylolysis and spondylolisthesis in children and adolescents. J Bone Joint Surg 1989; 71-A (7): 1098-1107
  12. Hohmann F, Stürz H. Differential indications for lumbosacral fusion and reposition operation in spondylo- listhesis]. Orthopade 1997; 26(9): 781-789
  13. Kaplan SS, Wright NM, Yundt KD, Lauryssen C. NAdjacent fracture-dislocations of the lumbosacral spine: case report. Neurosurgery 1999; 44(5): 1134-1137
  14. Lehmer SM, Steffee AD, Gaines RW. Treatment of L5-S1 spondyloptosis by staged L5 resection with re- duction and fusion of L4 onto S1 (Gaines procedure). Spine 1994; 19: 1916-1925
  15. Maurice HD, Morley TR: Cauda equina lesions following in situ and decompressive laminectomy for se- vere spondylolisthesis. Spine 1989; 14: 214-216
  16. Newman PH. The etiology of spondylolisthesis. J Bone Joint Surg 1963; 45-B: 39-59
  17. Peek RD, Wiltse LL, Reynolds