title: One-stage surgery through posterior approach-for L5-S1 spondyloptosis.
abstract: Grade 5 spondylolisthesis or spondyloptosis is a rare condition. Generally, the surgical management of spondyloptosis includes multi-staged procedures instead of one-staged procedures. One-stage treatment for spondyloptosis is very rare. A 15-year-old girl with L5-S1 spondyloptosis was admitted with severe low back pain. There was no history of trauma. The patient underwent L5 laminectomy, L5-S1 discectomy, resection of sacral dome, reduction, L3-L4-L5-S1 pedicular screw fixation, and interbody-posterolateral fusion through the posterior approach. The reduction was maintained with bilateral L5-S1 discectomy, resection of the sacral dome, and transpedicular instrumentation from L3 to S1. In this particular case, one-staged approach was adequate for the treatment of L5-S1 spondyloptosis. One-staged surgery using the posterior approach may be adequate for the treatment of L5-S1 spondyloptosis while avoiding the risks inherent in anterior approaches.
authors.affiliation: Neurosurgery Clinic, Dr. Lutfi Kirdar Kartal Research and Training Hospital, Istanbul, Turkey.
authors.forename: Hikmet Turan
authors.initials: HT
authors.lastname: Suslu
authors.forename: Erhan
authors.initials: E
authors.lastname: Celikoglu
authors.forename: Ali
authors.initials: A
authors.lastname: Borekcı
authors.forename: Tufan
authors.initials: T
authors.lastname: Hıcdonmez
authors.forename: Hüsnü
authors.initials: H
authors.lastname: Suslu
keywords: Internal reduction; pedicular fixation; spondylolisthesis; spondyloptosis