Transvertebral interbody cage and pedicle screw fixation for high-grade spondylolisthesis - Case report

被引:14
作者
Bozkus, H
Dickman, CA
机构
[1] VKV Amer Hosp, Dept Neurosurg, Istanbul, Turkey
[2] St Josephs Hosp, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
[3] Med Ctr, Phoenix, AZ USA
关键词
high-grade spondylolisthesis; stabilization; interbody cage; lumbosacral spine;
D O I
10.3171/spi.2004.100.1.0062
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Surgical stabilization of high-grade lumbosacral spondylolisthesis is clinically challenging, and the success of deformity reduction and fusion varies. The authors describe a patient with Grade III spondylolisthesis at L5-S1. Partial reduction was achieved and fusion involved pedicle screw fixation and a posterior transvertebral interbody cage. This patient had developed progressive spondylolisthesis after decompression and posterolateral fusion for L5-S1 spondylolisthesis failed. Clinical and early radiographic results were excellent. Transsacral cage fixation can be considered a viable option to buttress the region in which high-grade L5-S1 spondylolisthesis has been reduced. The cage provides substrate for interbody arthrodesis and acts as a biomechanical stabilizer that helps prevent pedicle screw failure.
引用
收藏
页码:62 / 65
页数:4
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