Transvertebral interbody cage and pedicle screw fixation for high-grade spondylolisthesis. Case report.
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.
Bozkus
Hakan
H
Department of Neurosurgery, VKV American Hospital, Istanbul, Turkey.
Dickman
Curtis A
CA
D000328:Adult; D001863:Bone Screws; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007796:Laminectomy; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D019736:Prostheses and Implants; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D012447:Sacrum / Q000473:pathology / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D013168:Spondylolisthesis / Q000175:diagnosis / Q000601:surgery*