An alternative operative approach to lumbar spondylolisthesis

Authors

Matthew Putty, Advocate Aurora Health
Gina Guglielmi, Neurosurgery, Carle Foundation, Champaign, USA.
Hamad Farhat, Advocate Aurora HealthFollow

Recommended Citation

Putty M, Guglielmi G, Farhat H. An Alternative Operative Approach to Lumbar Spondylolisthesis. Cureus. 2022;14(5):e25276. Published 2022 May 24. doi:10.7759/cureus.25276

Affiliations

Advocate Christ Medical Center

Abstract

Lumbosacral spondylolisthesis is a frequently encountered pathology with high-grade spondylolisthesis being the least common. A circumferential construct is usually the preferred treatment as these can resist the shearing forces present at L5-S1. However, the severity of the slip, sacral inclination, and the slip angle may make a traditional anterior approach difficult to achieve. In this case series, we present three patients with axial back pain that were treated with an anterior L5-S1 transvertebral cage. This technique is intended for both grade II spondylolisthesis and high sacral slope. The L5-S1 transvertebral cage may be sufficient to prevent further listhesis, fuse the patient, and alleviate axial back pain.

Document Type

Article

PubMed ID

35755524