Triple-level degenerative spondylolisthesis and the importance of spinopelvic parameters: Case report
Background: Lumbar degenerative spondylolisthesis typically occurs at a single vertebral level and infrequently at two separate levels. However, a triple level lumbar degenerative anterolisthesis is an extremely rare clinical scenario.The preservation or restoration of sagittal balance with the cons...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751921000153 |
| _version_ | 1818624285096280064 |
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| author | Abolfazl Rahimizadeh Nima Mohsenikabir Shaghayegh Rahimizadeh Naser Asgari Mona Karimi Mahan Amirzadeh |
| author_facet | Abolfazl Rahimizadeh Nima Mohsenikabir Shaghayegh Rahimizadeh Naser Asgari Mona Karimi Mahan Amirzadeh |
| author_sort | Abolfazl Rahimizadeh |
| collection | DOAJ |
| description | Background: Lumbar degenerative spondylolisthesis typically occurs at a single vertebral level and infrequently at two separate levels. However, a triple level lumbar degenerative anterolisthesis is an extremely rare clinical scenario.The preservation or restoration of sagittal balance with the consideration of the observed spinopelvic parameters is of a cardinal importance in multilevel level DS than in single level DS. Presentation of the case: An evaluation of a middle-aged woman with persistent radiculopathy and neurogenic claudication revealed a three-level degenerative anterolisthesis from L3 to S1. With the placement of Iliac to L3 screw rod fixation in association with a decompressive laminectomy, a three-level interbody fusion and three level Smith Petersen osteotomies; a desirable lordosis and sagittal balance was preserved. She is ambulating well at a 9-month follow-up encounter. Conclusion: Three level continuous degenerative anterior spondylolisthesis of the lumbar spine is a very rare clinical scenario being reported in only one previous instance throughout medical literature. The key initiative in the management of this condition is the preservation or correction of any sagittal imbalance present. |
| first_indexed | 2024-12-16T18:54:31Z |
| format | Article |
| id | doaj.art-bd215ff7e2e649e8af4d86aa98b6d0be |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-16T18:54:31Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-bd215ff7e2e649e8af4d86aa98b6d0be2022-12-21T22:20:35ZengElsevierInterdisciplinary Neurosurgery2214-75192021-09-0125101103Triple-level degenerative spondylolisthesis and the importance of spinopelvic parameters: Case reportAbolfazl Rahimizadeh0Nima Mohsenikabir1Shaghayegh Rahimizadeh2Naser Asgari3Mona Karimi4Mahan Amirzadeh5Corresponding author.; Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IranPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IranPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IranPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IranPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IranPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IranBackground: Lumbar degenerative spondylolisthesis typically occurs at a single vertebral level and infrequently at two separate levels. However, a triple level lumbar degenerative anterolisthesis is an extremely rare clinical scenario.The preservation or restoration of sagittal balance with the consideration of the observed spinopelvic parameters is of a cardinal importance in multilevel level DS than in single level DS. Presentation of the case: An evaluation of a middle-aged woman with persistent radiculopathy and neurogenic claudication revealed a three-level degenerative anterolisthesis from L3 to S1. With the placement of Iliac to L3 screw rod fixation in association with a decompressive laminectomy, a three-level interbody fusion and three level Smith Petersen osteotomies; a desirable lordosis and sagittal balance was preserved. She is ambulating well at a 9-month follow-up encounter. Conclusion: Three level continuous degenerative anterior spondylolisthesis of the lumbar spine is a very rare clinical scenario being reported in only one previous instance throughout medical literature. The key initiative in the management of this condition is the preservation or correction of any sagittal imbalance present.http://www.sciencedirect.com/science/article/pii/S2214751921000153Degenerative spondylolisthesisDouble-levelSacropelvic parametersSagittal imbalance |
| spellingShingle | Abolfazl Rahimizadeh Nima Mohsenikabir Shaghayegh Rahimizadeh Naser Asgari Mona Karimi Mahan Amirzadeh Triple-level degenerative spondylolisthesis and the importance of spinopelvic parameters: Case report Interdisciplinary Neurosurgery Degenerative spondylolisthesis Double-level Sacropelvic parameters Sagittal imbalance |
| title | Triple-level degenerative spondylolisthesis and the importance of spinopelvic parameters: Case report |
| title_full | Triple-level degenerative spondylolisthesis and the importance of spinopelvic parameters: Case report |
| title_fullStr | Triple-level degenerative spondylolisthesis and the importance of spinopelvic parameters: Case report |
| title_full_unstemmed | Triple-level degenerative spondylolisthesis and the importance of spinopelvic parameters: Case report |
| title_short | Triple-level degenerative spondylolisthesis and the importance of spinopelvic parameters: Case report |
| title_sort | triple level degenerative spondylolisthesis and the importance of spinopelvic parameters case report |
| topic | Degenerative spondylolisthesis Double-level Sacropelvic parameters Sagittal imbalance |
| url | http://www.sciencedirect.com/science/article/pii/S2214751921000153 |
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