Isthmic Spondylolisthesis Associated with Foraminal Disc Herniation Treated by Anterior Lumbar Interbody Fusion.
- Author:
Dong Yeob LEE
1
;
Sang Ho LEE
;
Dae Hyeon MAENG
;
Jee Soo JANG
Author Information
1. Department of Neurosurgery, Gimpo Airport Wooridul Spine Hospital, Seoul, Korea. nsspine@paran.com
- Publication Type:Case Report
- Keywords:
Anterior lumbar interbody fusion(ALIF);
Isthmic spondylolisthesis;
Foraminal disc herniation
- MeSH:
Constriction, Pathologic;
Humans;
Leg;
Low Back Pain;
Magnetic Resonance Imaging;
Middle Aged;
Spondylolisthesis*
- From:Journal of Korean Neurosurgical Society
2005;38(4):320-322
- CountryRepublic of Korea
- Language:English
-
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.
