Reduction of adolescent grade IV L5–S1 spondylolisthesis with anterior joystick manipulation during a combined anterior and posterior surgical approach: A case report

BACKGROUND: High-grade isthmic spondylolisthesis poses a clinical challenge in the pediatric and adolescent population. Current surgical management using posterior-based approaches may lead to incomplete reduction and restoration of listhesis, disc height, and lordosis. Combined anterior and posteri...

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Autores principales: Singh, Manjot, Balmaceno-Criss, Mariah, Alsoof, Daniel, Burch, M. Benjamin, Sakr, Itala, Diebo, Bassel G., McDonald, Christopher, Basques, Bryce, Kuris, Eren O., Daniels, Alan H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10497841/
https://www.ncbi.nlm.nih.gov/pubmed/37711284
http://dx.doi.org/10.1016/j.xnsj.2023.100263
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author Singh, Manjot
Balmaceno-Criss, Mariah
Alsoof, Daniel
Burch, M. Benjamin
Sakr, Itala
Diebo, Bassel G.
McDonald, Christopher
Basques, Bryce
Kuris, Eren O.
Daniels, Alan H.
author_facet Singh, Manjot
Balmaceno-Criss, Mariah
Alsoof, Daniel
Burch, M. Benjamin
Sakr, Itala
Diebo, Bassel G.
McDonald, Christopher
Basques, Bryce
Kuris, Eren O.
Daniels, Alan H.
author_sort Singh, Manjot
collection PubMed
description BACKGROUND: High-grade isthmic spondylolisthesis poses a clinical challenge in the pediatric and adolescent population. Current surgical management using posterior-based approaches may lead to incomplete reduction and restoration of listhesis, disc height, and lordosis. Combined anterior and posterior approach addresses these issues but has been infrequently reported, mainly in the treatment of low-grade isthmic spondylolisthesis. Neither offers good disc space visualization and control of spinal alignment during reduction. CASE DESCRIPTION: A healthy 17-year-old female presented with 9 months of progressively worsening lower back pain radiating down the left lower extremity and 3 inches of height loss. Diagnosis of grade IV L5–S1 spondylolisthesis was made using plain radiographs, CT, and MRI. Management with combined anterior and posterior fusion, involving the manual manipulation of segments using an anterior pedicle screw joystick, was pursued. OUTCOME: Satisfactory alignment, solid arthrodesis, no complications, and improved patient reported outcomes. CONCLUSIONS: Combined anterior and posterior fusion with anterior joystick manipulation allowed for full reduction of grade IV spondylolisthesis and restoration of disc/foraminal height and L5–S1 segmental lordosis without neurological complication. Although less commonly performed in children and adolescents, this surgical approach can assist in restoring optimal alignment in isthmic spondylolisthesis.
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spelling pubmed-104978412023-09-14 Reduction of adolescent grade IV L5–S1 spondylolisthesis with anterior joystick manipulation during a combined anterior and posterior surgical approach: A case report Singh, Manjot Balmaceno-Criss, Mariah Alsoof, Daniel Burch, M. Benjamin Sakr, Itala Diebo, Bassel G. McDonald, Christopher Basques, Bryce Kuris, Eren O. Daniels, Alan H. N Am Spine Soc J Clinical Case Studies BACKGROUND: High-grade isthmic spondylolisthesis poses a clinical challenge in the pediatric and adolescent population. Current surgical management using posterior-based approaches may lead to incomplete reduction and restoration of listhesis, disc height, and lordosis. Combined anterior and posterior approach addresses these issues but has been infrequently reported, mainly in the treatment of low-grade isthmic spondylolisthesis. Neither offers good disc space visualization and control of spinal alignment during reduction. CASE DESCRIPTION: A healthy 17-year-old female presented with 9 months of progressively worsening lower back pain radiating down the left lower extremity and 3 inches of height loss. Diagnosis of grade IV L5–S1 spondylolisthesis was made using plain radiographs, CT, and MRI. Management with combined anterior and posterior fusion, involving the manual manipulation of segments using an anterior pedicle screw joystick, was pursued. OUTCOME: Satisfactory alignment, solid arthrodesis, no complications, and improved patient reported outcomes. CONCLUSIONS: Combined anterior and posterior fusion with anterior joystick manipulation allowed for full reduction of grade IV spondylolisthesis and restoration of disc/foraminal height and L5–S1 segmental lordosis without neurological complication. Although less commonly performed in children and adolescents, this surgical approach can assist in restoring optimal alignment in isthmic spondylolisthesis. Elsevier 2023-08-09 /pmc/articles/PMC10497841/ /pubmed/37711284 http://dx.doi.org/10.1016/j.xnsj.2023.100263 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Clinical Case Studies
Singh, Manjot
Balmaceno-Criss, Mariah
Alsoof, Daniel
Burch, M. Benjamin
Sakr, Itala
Diebo, Bassel G.
McDonald, Christopher
Basques, Bryce
Kuris, Eren O.
Daniels, Alan H.
Reduction of adolescent grade IV L5–S1 spondylolisthesis with anterior joystick manipulation during a combined anterior and posterior surgical approach: A case report
title Reduction of adolescent grade IV L5–S1 spondylolisthesis with anterior joystick manipulation during a combined anterior and posterior surgical approach: A case report
title_full Reduction of adolescent grade IV L5–S1 spondylolisthesis with anterior joystick manipulation during a combined anterior and posterior surgical approach: A case report
title_fullStr Reduction of adolescent grade IV L5–S1 spondylolisthesis with anterior joystick manipulation during a combined anterior and posterior surgical approach: A case report
title_full_unstemmed Reduction of adolescent grade IV L5–S1 spondylolisthesis with anterior joystick manipulation during a combined anterior and posterior surgical approach: A case report
title_short Reduction of adolescent grade IV L5–S1 spondylolisthesis with anterior joystick manipulation during a combined anterior and posterior surgical approach: A case report
title_sort reduction of adolescent grade iv l5–s1 spondylolisthesis with anterior joystick manipulation during a combined anterior and posterior surgical approach: a case report
topic Clinical Case Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10497841/
https://www.ncbi.nlm.nih.gov/pubmed/37711284
http://dx.doi.org/10.1016/j.xnsj.2023.100263
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