title: Colonic perforation complicating posteroanterior fusion using fibular strut autograft for a high-grade spondylolisthesis.
abstract: Posteroanterior fusion using a fibular strut autograft has been advocated for the surgical treatment of high-grade lumbosacral spondylolisthesis. We report here the treatment of a 14-year-old girl using an S2-L5 fibular autograft, which resulted in the postoperative complication of a sigmoid colon perforation. Techniques for recognizing, treating, and avoiding this complication are presented.
authors.affiliation: Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.
authors.forename: Michael K
authors.initials: MK
authors.lastname: Shindle
authors.forename: A Jay
authors.initials: AJ
authors.lastname: Khanna
authors.forename: Jeff C
authors.initials: JC
authors.lastname: Hoehner
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: O'Neill
authors.forename: Paul D
authors.initials: PD
authors.lastname: Sponseller
mesh_terms: D000293:Adolescent; D003106:Colon / Q000293:injuries*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D011859:Radiography; D013123:Spinal Fusion / Q000009:adverse effects* / Q000379:methods*; D013168:Spondylolisthesis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D014182:Transplantation, Autologous