Complete spondylolisthesis in an infant. Treatment with decompression and fusion.
A grade 4 spondylolisthesis at the level of L-4 and L-5 was detected in a 3-year-old girl who had a spastic gait and focal sensory deficit. There was no history or objective evidence of substantial spinal trauma. A deformity over the lower part of the spine had been noted at 1 year of age and the radiological lesion was more extensive than that found in classical spondylolysis. Consquently, a diagnosis of congenital spondylolisthesis is most acceptable. Treatment via combined posterior and posterolateral fusion following anterior decompression has yielded gratifying results.
D002675:Child, Preschool; D003664:Decompression; D004899:Erythroblastosis, Fetal / Q000150:complications; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007796:Laminectomy; D008159:Lumbar Vertebrae / Q000637:transplantation; D011247:Pregnancy; D011859:Radiography; D013123:Spinal Fusion; D013168:Spondylolisthesis / Q000000981:diagnostic imaging / Q000601:surgery*; D014182:Transplantation, Autologous