Spina bifida occulta in high grade spondylolisthesis.
A 14-year-old boy presented with symptomatic high-grade dysplastic type spondylolisthesis, with a presence of spina bifida occulta, not diagnosed by plain radiographs, but confirmed on preoperative CT and MR. Circumferential fusion with partial reduction of L5/S1 was performed. Awareness of the coexistence of spondylolisthesis and spina bifida by an accurate preoperative planning is paramount to avoid iatrogenic damage to neural elements during surgery.
Department of Oncological and Degenerative Spine Surgery, Rizzoli Orthopedic Institute, Bologna, Italy. giovanni@barbantibrodano.com.
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Barbanti Brodano
D000293:Adolescent; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D012544:Scheuermann Disease / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016136:Spina Bifida Occulta / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D013123:Spinal Fusion; D013168:Spondylolisthesis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery