Spondylolisthesis following a pedicle subtraction osteotomy. Case report

Neurosurg Focus. 2010 Mar;28(3):E16. doi: 10.3171/2009.12.FOCUS09285.

Abstract

Pedicle subtraction osteotomy (PSO) is a powerful technique for correcting a fixed sagittal plane deformity. The authors report the case of a 51-year-old man with a history of multiple prior lumbar operations, flat-back syndrome, thoracic kyphosis, and radiculopathy, who underwent deformity correction surgery with T3-S1 pedicle screw fixation and L-3 PSO. Progressive spondylolisthesis of the PSO segment associated with rod fracture then developed. The patient subsequently underwent anterior and posterior revision surgery. This case is a rare instance of spondylolisthesis following PSO.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Screws
  • Bone Transplantation
  • Humans
  • Kyphosis / diagnostic imaging
  • Kyphosis / surgery*
  • Low Back Pain / surgery
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / surgery*
  • Male
  • Orthopedic Procedures / instrumentation*
  • Orthopedic Procedures / methods
  • Osteotomy / adverse effects*
  • Osteotomy / methods
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Prosthesis Failure
  • Pseudarthrosis / etiology
  • Pseudarthrosis / surgery
  • Radiculopathy / surgery
  • Radiography
  • Reoperation / methods
  • Spinal Fusion / methods*
  • Spine / diagnostic imaging
  • Spine / surgery
  • Spondylolisthesis / diagnostic imaging
  • Spondylolisthesis / etiology*
  • Spondylolisthesis / surgery*
  • Treatment Outcome