Early postoperative sacral fracture after short-segment posterior lumbar interbody fusion for L5/S1 isthmic spondylolisthesis: A case report

BACKGROUND: Early postoperative sacral fractures are extremely rare complications of single-level posterior lumbar interbody fusions (PLIFs). CASE DESCRIPTION: A 71-year-old female presented with lower back pain and right S1 radiculopathy attributed to MR-documented L5/S1 isthmic spondylolisthesis....

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Autores principales: Kawasaki, Toshinari, Takayama, Motohiro, Maki, Yoshinori, Kobayashi, Tamaki, Ioroi, Yoshihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9062948/
https://www.ncbi.nlm.nih.gov/pubmed/35509588
http://dx.doi.org/10.25259/SNI_189_2022
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author Kawasaki, Toshinari
Takayama, Motohiro
Maki, Yoshinori
Kobayashi, Tamaki
Ioroi, Yoshihiko
author_facet Kawasaki, Toshinari
Takayama, Motohiro
Maki, Yoshinori
Kobayashi, Tamaki
Ioroi, Yoshihiko
author_sort Kawasaki, Toshinari
collection PubMed
description BACKGROUND: Early postoperative sacral fractures are extremely rare complications of single-level posterior lumbar interbody fusions (PLIFs). CASE DESCRIPTION: A 71-year-old female presented with lower back pain and right S1 radiculopathy attributed to MR-documented L5/S1 isthmic spondylolisthesis. Following a L5 laminectomy and bilateral L5/S1 PLIF, she experienced sacral pain while sitting. When the MR showed a sacral insufficiency fracture with anterolisthesis at L5/S1, a secondary posterior fusion was extended to the pelvis, utilizing bilateral iliac screws. Following this reoperation, the patient did well and went on to achieve arthrodesis. CONCLUSION: Early postoperative sacral fractures that occur following single-segment L5/S1 PLIF for isthmic spondylolisthesis warrant fusion to the pelvis with bilateral iliac screws.
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spelling pubmed-90629482022-05-03 Early postoperative sacral fracture after short-segment posterior lumbar interbody fusion for L5/S1 isthmic spondylolisthesis: A case report Kawasaki, Toshinari Takayama, Motohiro Maki, Yoshinori Kobayashi, Tamaki Ioroi, Yoshihiko Surg Neurol Int Case Report BACKGROUND: Early postoperative sacral fractures are extremely rare complications of single-level posterior lumbar interbody fusions (PLIFs). CASE DESCRIPTION: A 71-year-old female presented with lower back pain and right S1 radiculopathy attributed to MR-documented L5/S1 isthmic spondylolisthesis. Following a L5 laminectomy and bilateral L5/S1 PLIF, she experienced sacral pain while sitting. When the MR showed a sacral insufficiency fracture with anterolisthesis at L5/S1, a secondary posterior fusion was extended to the pelvis, utilizing bilateral iliac screws. Following this reoperation, the patient did well and went on to achieve arthrodesis. CONCLUSION: Early postoperative sacral fractures that occur following single-segment L5/S1 PLIF for isthmic spondylolisthesis warrant fusion to the pelvis with bilateral iliac screws. Scientific Scholar 2022-04-15 /pmc/articles/PMC9062948/ /pubmed/35509588 http://dx.doi.org/10.25259/SNI_189_2022 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kawasaki, Toshinari
Takayama, Motohiro
Maki, Yoshinori
Kobayashi, Tamaki
Ioroi, Yoshihiko
Early postoperative sacral fracture after short-segment posterior lumbar interbody fusion for L5/S1 isthmic spondylolisthesis: A case report
title Early postoperative sacral fracture after short-segment posterior lumbar interbody fusion for L5/S1 isthmic spondylolisthesis: A case report
title_full Early postoperative sacral fracture after short-segment posterior lumbar interbody fusion for L5/S1 isthmic spondylolisthesis: A case report
title_fullStr Early postoperative sacral fracture after short-segment posterior lumbar interbody fusion for L5/S1 isthmic spondylolisthesis: A case report
title_full_unstemmed Early postoperative sacral fracture after short-segment posterior lumbar interbody fusion for L5/S1 isthmic spondylolisthesis: A case report
title_short Early postoperative sacral fracture after short-segment posterior lumbar interbody fusion for L5/S1 isthmic spondylolisthesis: A case report
title_sort early postoperative sacral fracture after short-segment posterior lumbar interbody fusion for l5/s1 isthmic spondylolisthesis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9062948/
https://www.ncbi.nlm.nih.gov/pubmed/35509588
http://dx.doi.org/10.25259/SNI_189_2022
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