Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Isthmic Spondylolisthesis Associated with Foraminal Disc Herniation Treated by Anterior Lumbar Interbody Fusion

  • Lee, Dong-Yeob (Departments of Neurosurgery, Gimpo Airport Wooridul Spine Hospital) ;
  • Lee, Sang-Ho (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Maeng, Dae-Hyeon (Departments of Thoracic and Cardiovascular Surgery, Gimpo Airport Wooridul Spine Hospital) ;
  • Jang, Jee-Soo (Departments of Neurosurgery, Gimpo Airport Wooridul Spine Hospital)
  • Published : 2005.10.28
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Abstract

A 45-year-old man presented with lower back pain and pain in the right leg of 3years duration. A plain radiographic examination revealed grade I isthmic spondylolisthesis, with instability at L4-5. Computed tomography and magnetic resonance imaging demonstrated bilateral foraminal stenosis, with soft foraminal disc herniation on the right side at the L4-5 level. He underwent anterior lumbar interbody fusion[ALIF] with percutaneous posterior fixation[PF] at the L4-5 level. Without removing the posterior bony structures, removal of foraminal disc herniation and reduction of spondylolisthesis were successfully performed using ALIF with percutaneous PF. When there is no hard disc herniation or lateral recess stenosis, ALIF with percutaneous PF can be one of the treatment options for isthmic spondylolisthesis, even in the presence of foraminal disc herniation, as in our case.

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References

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