Circumferential Fusion using Combined Unilateral TLIF and Contralateral Pedicle Screw Fixation for Spondylolytic Spondylolisthesis at L4/5 and L5/S1 : A Case Report
スポンサーリンク
概要
- 論文の詳細を見る
Objective : A case of spondylolytic spondylolisthesis at L4/5 and L5/S1 was treated by performing 360 degree fusion using combined unilateral transforaminal lumbar interbody fusion (TLIF) and contralateral pedicle screw fixation (PSF). Case report : A 78-year-old man presented with 8-year history of low back pain and left leg pain. Neurological examination showed positive straight leg raising test on the right and hypesthesia in the left L4 region. Computerized tomography and magnetic resonance imaging demonstrated spondylolysis at L4 and L5 with slip at L4/5. The patient was treated with a single cage by performing TLIF from the left L4-5 foramen obliquely to the ventral cortex (45 degree to vertical plane), and then PSF at L4, L5 and S1 under an intraoperative fluoroscopy. Result : Postoperatively, the patient showed a marked recovery. His left leg pain and low back pain subsided, and he was back to work shortly after the operation. Conclusion : Spondylolytic spondylolisthesis is one of the targets of spinal instrumentation. Although a broad combination of implants can be selected for this pathological condition, combined TLIF after discectomy and contralateral PSF was useful in a case like this.
- 日本脊髄外科学会の論文
- 2005-09-30
著者
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NAKAGAWA Hiroshi
Department of Pediatrics, Sendai City Hospital
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Nakagawa Hiroshi
Department Of Diagnostic Ultrasound And Medical Electronics Sapporo Medical University
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Kubo Yoshichika
Neurosurgery Sakibara Neuroscience Center
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MIZUNO Junichi
Department of Neurological Surgery,Aichi Medical University,Aichi
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Mizuno Junichi
Department Of Neursurgery Aichi Medical University
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Mizuno Junichi
Department Of Neurological Surgery Aichi Medical University
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Adam Achmad
Department of Neurosurgery, Padjadjaran University
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Wiriadisastra Kahdar
Department of Neurosurgery, Padjadjaran University
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Wiriadisastra Kahdar
Department Of Neurosurgery Padjadjaran University
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Adam Achmad
Department Of Neurosurgery Padjadjaran University
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Nakagawa Hiroshi
Department Of Biological Sciences Tokyo Institute Of Technology
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Nakagawa Hiroshi
Department Of Neursurgery Aichi Medical University
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