Long iliac screw fixation in a case of isthmic spondyloptosis

BACKGROUND: We report the case of a patient with a spondyloptosis who presented with progressive deformity and worsening neurological deficits. The patient had two previous lumbosacral instrumented fusions. CASE DESCRIPTION: A salvage revision surgery was performed, in which long iliac screws along...

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Detalles Bibliográficos
Autores principales: Vilela, Marcelo D., Braga, Bruno P., Pedrosa, Hugo A. S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Spine: Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5482161/
https://www.ncbi.nlm.nih.gov/pubmed/28680729
http://dx.doi.org/10.4103/sni.sni_122_17
Descripción
Sumario:BACKGROUND: We report the case of a patient with a spondyloptosis who presented with progressive deformity and worsening neurological deficits. The patient had two previous lumbosacral instrumented fusions. CASE DESCRIPTION: A salvage revision surgery was performed, in which long iliac screws along with anterior column support at L5-S1 were used to immobilize the lumbosacral junction. Two years after the procedure a solid fusion is seen along with marked neurological improvement. CONCLUSIONS: Pelvic fixation using long iliac screws is a very useful technique that can be employed when revision surgery for high-grade spondylolisthesis is needed.

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