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CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(03): 437-443
DOI: 10.1055/s-0043-1771317
Review Article

Minimally Invasive Surgery for Managing Grade IV and V Spondylolisthesis

Authors

  • Felipe Ramirez Velandia 

    1   Neurology and Neurosurgery Research Group, Pontificia Universidad Javeriana, Bogotá́ D.C., Colombia

  • David Camilo Gomez Cristancho 

    2   Department of Neurologic Surgery, Universidad Nacional de Colombia, Neurosurgery Research Group, NeuroAxis SAS, Bogota D.C., Colombia

  • Andres Urrego Nieto

    2   Department of Neurologic Surgery, Universidad Nacional de Colombia, Neurosurgery Research Group, NeuroAxis SAS, Bogota D.C., Colombia

  • Isabel Marquez

    1   Neurology and Neurosurgery Research Group, Pontificia Universidad Javeriana, Bogotá́ D.C., Colombia

  • Alejandra Restrepo Martinez

    1   Neurology and Neurosurgery Research Group, Pontificia Universidad Javeriana, Bogotá́ D.C., Colombia

  • Jaime Eduardo Becerra Ospina

    3   Department of Neurologic Sugery, Pontificia Universidad Javeriana, Neurosurgery Research Group, NeuroAxis SAS, Bogota D.C., Colombia

  • Juan Carlos Pérez Rodriguez

    3   Department of Neurologic Sugery, Pontificia Universidad Javeriana, Neurosurgery Research Group, NeuroAxis SAS, Bogota D.C., Colombia
    4   Department of Spinal Deformity Surgery, Instituto Nacional de Traumatología e Ortopedia Jamil Haddad, Río de Janeiro, Brazil
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Abstract

Surgical treatment of high-grade spondylolisthesis is controversial and aims at restoring the spinopelvic sagittal balance through complete or partial reduction of the listhesis. Nerve decompression and interbody fusion are necessary for patients presenting with neurological deficit, severe pain, lower limb asymmetry, or deformities. We present the case and the results of a patient with high-grade spondylolisthesis, in whom minimally invasive management was performed. A narrative review in this topic is also provided.

We performed a literature review of high-grade spondylolisthesis to compare our technique to current surgical alternatives. We included articles from PubMed, Embase, Scopus, Ovid, and Science Direct published between 1963 and 2022 that were written in English, German, and Spanish. The terms used were the following: “high grade spondylolisthesis,” “spondyloptosis,” “surgical management,” “interbody fusion,” and “arthrodesis.” In all, 485 articles were displayed, from which we filtered 112 by title and abstract. At the end, 75 references were selected for the review.

Different interbody fusion techniques can be used to correct the lumbosacral kyphosis and restore the spinopelvic parameters. A complete reduction of the listhesis is not always required. The surgical procedure carried out in our patient corresponds to the first known case of minimally invasive circumferential arthrodesis with iliac screws and sacral fixation in a high-grade dysplastic spondylolisthesis. This approach guarantees the correction of the lumbosacral kyphosis and a complete reduction of the listhesis. Further studies are required to determine whether the results of this case can be extrapolated to other patients with high-grade spondylolisthesis.

Keywords

spondylolisthesis - spondylosis - spondylolysis - minimally invasive surgical procedures - lumbar spine surgery - anterior lumbar interbody fusion

Contributors

David Camilo Gomez Cristancho conceived the presented idea and organized the information of the presented clinical case with the help of Andrés Urrego. Felipe Ramirez Velandia, Isabel Márquez, and Alejandra Restrepo performed the narrative search and organized the collected information. Jaime Eduardo Becerra and Juan Carlos Pérez Rodríguez helped supervise the whole project. All the authors discussed the results and contributed to the final manuscript.




Publikationsverlauf

Artikel online veröffentlicht:
22. September 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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