The London Spine Unit : best recognised day surgery spinal centre in UK
Published article
CONCLUSION: Early postoperative sacral fractures that occur following single-segment L5/S1 PLIF for isthmic spondylolisthesis warrant fusion to the pelvis with bilateral iliac screws.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Surg Neurol Int. 2022 Apr 15;13:142. doi: 10.25259/SNI_189_2022. eCollection 2022.
ABSTRACT
BACKGROUND: Early postoperative sacral fractures are extremely rare complications of single-level posterior lumbar interbody fusions (PLIFs).
CASE DESCRIPTION: A 71-year-old female presented with lower back pain and right S1 radiculopathy attributed to MR-documented L5/S1 isthmic spondylolisthesis. Following a L5 laminectomy and bilateral L5/S1 PLIF, she experienced sacral pain while sitting. When the MR showed a sacral insufficiency fracture with anterolisthesis at L5/S1, a secondary posterior fusion was extended to the pelvis, utilizing bilateral iliac screws. Following this reoperation, the patient did well and went on to achieve arthrodesis.
CONCLUSION: Early postoperative sacral fractures that occur following single-segment L5/S1 PLIF for isthmic spondylolisthesis warrant fusion to the pelvis with bilateral iliac screws.
PMID:35509588 | PMC:PMC9062948 | DOI:10.25259/SNI_189_2022
The London Spine Unit : best recognised day surgery spinal centre in UK
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