[L4/L5 spondylolisthesis following reduction and stabilization by anterior and posterolateral graft of L5/S1 spondylolisthesis with major displacement].
40 children and adolescents, recurrence of a spondylolisthesis after posterior or even postero-lateral fusion is a well known fact. Anterior fusion added to the posterior graft is said to prevent such and occurrence. We report a case of a L4/L5 listhesis which followed near complete reduction of a 70% L5/S1 slip fixed by a combined approach. We think this is due to the persisting lumbo-sacral postural abnormalities and that while reducing and fixing the spondylolisthesis one should restore physiological posture to prevent this recurrence at the same level or at a higher one.
Hôpital Orthopédique de la Suisse Romande, Lausanne.
M
M
Dutoit
B
B
De Roguin
J J
JJ
Livio
D002648:Child; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D009985:Orthopedics; D011183:Postoperative Complications; D011379:Prognosis; D011859:Radiography; D012086:Reoperation; D013123:Spinal Fusion; D013168:Spondylolisthesis / Q000000981:diagnostic imaging / Q000601:surgery*
Spondylolisthésis L4/L5 après réduction et stabilisation par greffe antérieure et postéro-latérale d'un spondylolisthésis L5/S1 à grand déplacement.