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Journal of Korean Neurosurgical Society > Volume 38(4); 2005 > Article
Journal of Korean Neurosurgical Society 2005;38(4): 320-322.
Isthmic Spondylolisthesis Associated with Foraminal Disc Herniation Treated by Anterior Lumbar Interbody Fusion.
Dong Yeob Lee, Sang Ho Lee, Dae Hyeon Maeng, Jee Soo Jang
1Department of Neurosurgery, Gimpo Airport Wooridul Spine Hospital, Seoul, Korea. nsspine@paran.com
2Department of Thoracic and Cardiovascular Surgery, Gimpo Airport Wooridul Spine Hospital, Seoul, Korea.
3Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.
ABSTRACT
A 45-year-old man presented with lower back pain and pain in the right leg of 3years duration. A plain radiographic examination revealed grade I isthmic spondylolisthesis, with instability at L4-5. Computed tomography and magnetic resonance imaging demonstrated bilateral foraminal stenosis, with soft foraminal disc herniation on the right side at the L4-5 level. He underwent anterior lumbar interbody fusion(ALIF) with percutaneous posterior fixation(PF) at the L4-5 level. Without removing the posterior bony structures, removal of foraminal disc herniation and reduction of spondylolisthesis were successfully performed using ALIF with percutaneous PF. When there is no hard disc herniation or lateral recess stenosis, ALIF with percutaneous PF can be one of the treatment options for isthmic spondylolisthesis, even in the presence of foraminal disc herniation, as in our case.
Key Words: Anterior lumbar interbody fusion(ALIF); Isthmic spondylolisthesis; Foraminal disc herniation
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