A Novel Technique for Reduction of Spondyloptosis with Minimal Access Surgery (MIS-TLIF): A Case Report
To describe a technique for reduction of spondyloptosis with minimal access surgery. A 40-year-old female with BMI of 31.29 presented with chronic back pain and claudicant right L5 dermatomal pain (VAS 9/10) and paresthesia. Radiographs of lumbosacral spine revealed spondyloptosis at L5-S1 with a sl...
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| Format: | Article |
| Language: | English |
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Korean Minimally Invasive Spine Surgery Society
2020-10-01
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| Series: | Journal of Minimally Invasive Spine Surgery and Technique |
| Subjects: | |
| Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2020-00108.pdf |
| _version_ | 1797951490960130048 |
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| author | Arvind Gopalrao Kulkarni Shrikant S Sagane |
| author_facet | Arvind Gopalrao Kulkarni Shrikant S Sagane |
| author_sort | Arvind Gopalrao Kulkarni |
| collection | DOAJ |
| description | To describe a technique for reduction of spondyloptosis with minimal access surgery. A 40-year-old female with BMI of 31.29 presented with chronic back pain and claudicant right L5 dermatomal pain (VAS 9/10) and paresthesia. Radiographs of lumbosacral spine revealed spondyloptosis at L5-S1 with a slip angle of 38° and lumbar lordosis of 100°. Minimally invasive TLIF (MIS-TLIF) using tubular retractor and percutaneous pedicle screw-rod system was planned. MIS-TLIF was successful in achieving reduction and fusion of spondyloptosis. At 12 months follow up, the VAS for back pain improved from 9/10 to 2/10 and leg pain improved from 9/10 to 1/10. The ODI improved from 80% to 19%. Lumbar lordosis improved from 100° to 60° and slip angle 38° to 60°. There was no wound site morbidity and minimal operative site pain. Radiographs at 6 months revealed no loss of reduction or loosening of implants. Minimal access reduction and fusion technique (MIS-TLIF) using cantilever mechanism is feasible, safe and clinically effective in spondyloptosis. |
| first_indexed | 2024-04-10T22:31:27Z |
| format | Article |
| id | doaj.art-0c250af3f57647a383cf9f863486b1f9 |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-04-10T22:31:27Z |
| publishDate | 2020-10-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-0c250af3f57647a383cf9f863486b1f92023-01-17T04:30:59ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432020-10-0152697110.21182/jmisst.2020.0010874A Novel Technique for Reduction of Spondyloptosis with Minimal Access Surgery (MIS-TLIF): A Case ReportArvind Gopalrao Kulkarni0Shrikant S Sagane1 Department of Orthopaedics, Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital & Medical Research Centre, Mumbai, India Department of Orthopaedics, Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital & Medical Research Centre, Mumbai, IndiaTo describe a technique for reduction of spondyloptosis with minimal access surgery. A 40-year-old female with BMI of 31.29 presented with chronic back pain and claudicant right L5 dermatomal pain (VAS 9/10) and paresthesia. Radiographs of lumbosacral spine revealed spondyloptosis at L5-S1 with a slip angle of 38° and lumbar lordosis of 100°. Minimally invasive TLIF (MIS-TLIF) using tubular retractor and percutaneous pedicle screw-rod system was planned. MIS-TLIF was successful in achieving reduction and fusion of spondyloptosis. At 12 months follow up, the VAS for back pain improved from 9/10 to 2/10 and leg pain improved from 9/10 to 1/10. The ODI improved from 80% to 19%. Lumbar lordosis improved from 100° to 60° and slip angle 38° to 60°. There was no wound site morbidity and minimal operative site pain. Radiographs at 6 months revealed no loss of reduction or loosening of implants. Minimal access reduction and fusion technique (MIS-TLIF) using cantilever mechanism is feasible, safe and clinically effective in spondyloptosis.http://www.jmisst.org/upload/pdf/jmisst-2020-00108.pdfdecompressiondiscectomylaminectomyneuromonitoringminimally invasive spine surgerymis-tlifpedicle screwsspondylolisthesisspondylolysisspondyloptosis |
| spellingShingle | Arvind Gopalrao Kulkarni Shrikant S Sagane A Novel Technique for Reduction of Spondyloptosis with Minimal Access Surgery (MIS-TLIF): A Case Report Journal of Minimally Invasive Spine Surgery and Technique decompression discectomy laminectomy neuromonitoring minimally invasive spine surgery mis-tlif pedicle screws spondylolisthesis spondylolysis spondyloptosis |
| title | A Novel Technique for Reduction of Spondyloptosis with Minimal Access Surgery (MIS-TLIF): A Case Report |
| title_full | A Novel Technique for Reduction of Spondyloptosis with Minimal Access Surgery (MIS-TLIF): A Case Report |
| title_fullStr | A Novel Technique for Reduction of Spondyloptosis with Minimal Access Surgery (MIS-TLIF): A Case Report |
| title_full_unstemmed | A Novel Technique for Reduction of Spondyloptosis with Minimal Access Surgery (MIS-TLIF): A Case Report |
| title_short | A Novel Technique for Reduction of Spondyloptosis with Minimal Access Surgery (MIS-TLIF): A Case Report |
| title_sort | novel technique for reduction of spondyloptosis with minimal access surgery mis tlif a case report |
| topic | decompression discectomy laminectomy neuromonitoring minimally invasive spine surgery mis-tlif pedicle screws spondylolisthesis spondylolysis spondyloptosis |
| url | http://www.jmisst.org/upload/pdf/jmisst-2020-00108.pdf |
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