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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)
Publication Information
Journal of Korean Neurosurgical Society / v.38, no.4, 2005 , pp. 320-322 More about this Journal
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.
Keywords
Anterior lumbar interbody fusion(ALIF); Isthmic spondylolisthesis; Foraminal disc herniation;
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1 Duggal N, Mendiondo I, Jhawar BS, Pares HR, Das K, Kenny KJ, et al : Anterior lumbar interbody fusion for treatment of failed back surgery syndrome : an outcome analysis. Neurosurgery 54 : 636-644, 2004   DOI   PUBMED   ScienceOn
2 Ishihara H, Osada R, Kanamori M, Kawaguchi Y, Ohmori K, Kimura T, et al : Minimum 10-year follow-up study of anterior lumbar interbody fusion for isthmic spondylolisthesis. J Spinal Disord 14 : 91-99, 2001   DOI   ScienceOn
3 Kim YS, Chin DK, Cho YJ, Cho YE, Yoon DH : Long-term result of circumferential stabilization for spondylolytic spondylolisthesis by one stage posterior approach. J Korean Neurosurg Soc 34 : 119-124, 2003
4 Lee SH, Choi WG, Lim SR, Kang HY, Shin SW : Minimally invasive anterior lumbar interbody fusion followed by percutaneous pedicle screw fixation for isthmic spondylolisthesis. Spine J 4 : 644-649, 2004   DOI   ScienceOn
5 Newman MH, Grinstead GL : Anterior lumbar interbody fusion for internal disc disruption. Spine 17 : 831-833, 1992   DOI   PUBMED   ScienceOn
6 Pavlov PW, Meijers H, Limbeek J, Jacobs WCH, Lemmens JAM, Obradov-Rajic M, et al : Good outcome and restoration of lordosis after anterior lumbar interbody fusion with additional posterior fixation. Spine 29 : 1893-1900, 2004   DOI   ScienceOn
7 Penta M, Fraser R : Anterior lumbar interbody fusion : a minimum10- year follow-up. Spine 22 : 2429-2434, 1997   DOI   ScienceOn
8 Chen D, Fay LA, Lok J, Yuan P, Edwards WT, Yuan HA : Increasing neuroforaminal volume by anterior interbody distraction in degenerative lumbar spine. Spine 20 : 74-79, 1995   DOI   PUBMED   ScienceOn
9 Chung SK, Lee SH, Lim SR, Kim DY, Jang JS, Nam KS, et al : Comparative study of laparoscopic L5-S1 fusion versus open mini ALIF, with a minimum 2-year follow-up. Eur Spine J 12 : 613-617, 2003   DOI   ScienceOn
10 Kim NH, Lee JW : Anterior interbody fusion versus posterolateral fusion with transpedicular fixation for isthmic spondylolisthesis in adults. Spine 24 : 812-817, 1999   DOI   ScienceOn