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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

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.




Publication History

Article published online:
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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  • References

  • 1 Bydon M, Alvi MA, Goyal A. Degenerative lumbar spondylolisthesis: definition, natural history, conservative management, and surgical treatment. Neurosurg Clin N Am 2019; 30 (03) 299-304
    Search in Google Scholar
  • 2 Bhalla A, Bono CM. Isthmic lumbar spondylolisthesis. Neurosurg Clin N Am 2019; 30 (03) 283-290
    CrossrefPubMedSearch in Google Scholar
  • 3 Wiltse LL, Newman PH, Macnab I. Classification of spondylolisis and spondylolisthesis. Clin Orthop Relat Res 1976; (117) 23-29
    PubMedSearch in Google Scholar
  • 4 Ploumis A, Hantzidis P, Dimitriou C. High-grade dysplastic spondylolisthesis and spondyloptosis: report of three cases with surgical treatment and review of the literature. Acta Orthop Belg 2005; 71 (06) 750-757
    PubMedSearch in Google Scholar
  • 5 Mac-Thiong J-M, Labelle H, Kim D, Marchetti P, Bartolozzi P. Spondylolysis and spondylolisthesis. In: Surgery of the Pediatric Spine. Section III: Congenital Anomalies and Developmental Disorders. Germany: Thieme; 2008 Accessed December 16, 2021 at: https://www.thieme-connect.de/products/ebooks/lookinside/10.1055/b-0034-72581
    PubMedSearch in Google Scholar
  • 6 Newman PH, Stone KH. The etiology of spondylolisthesis. J Joint Bone Surg Brit 1963; 45-B (01) 39-59
    CrossrefSearch in Google Scholar
  • 7 Klöckner C, Weber U. Correction of lumbosacral kyphosis in high grade spondylolisthesis and spondyloptosis. Orthopade 2001; 30 (12) 983-987
    CrossrefPubMedSearch in Google Scholar
  • 8 Curylo LJ, Edwards C, DeWald RW. Radiographic markers in spondyloptosis: implications for spondylolisthesis progression. Spine 2002; 27 (18) 2021-2025
    CrossrefPubMedSearch in Google Scholar
  • 9 Miyake R, Ikata T, Katoh S, Morita T. Morphologic analysis of the facet joint in the immature lumbosacral spine with special reference to spondylolysis. Spine 1996; 21 (07) 783-789
    CrossrefPubMedSearch in Google Scholar
  • 10 Yue W-M, Brodner W, Gaines RW. Abnormal spinal anatomy in 27 cases of surgically corrected spondyloptosis: proximal sacral endplate damage as a possible cause of spondyloptosis. Spine 2005; 30 (06) S22-S26
    CrossrefPubMedSearch in Google Scholar
  • 11 McAfee PC, Yuan HA. Computed tomography in spondylolisthesis. Clin Orthop Relat Res 1982; (166) 62-71
    PubMedSearch in Google Scholar
  • 12 Ferris LR, Ho E, Leong JC. Lumbar spondyloptosis. A long term follow up of three cases. Int Orthop 1990; 14 (02) 139-143
    PubMedSearch in Google Scholar
  • 13 Lamartina C, Bassani R, Cecchinato R, Sinigaglia A, Berjano P. In-situ L5-S1 fusion of a stable, sagittally balanced L5 spondyloptosis. Eur Spine J 2014; 23 (12) 2769-2770
    CrossrefPubMedSearch in Google Scholar
  • 14 Hanson DS, Bridwell KH, Rhee JM, Lenke LG. Correlation of pelvic incidence with low- and high-grade isthmic spondylolisthesis. Spine 2002; 27 (18) 2026-2029
    CrossrefPubMedSearch in Google Scholar
  • 15 Jackson RP, Phipps T, Hales C, Surber J. Pelvic lordosis and alignment in spondylolisthesis. Spine 2003; 28 (02) 151-160
    CrossrefPubMedSearch in Google Scholar
  • 16 Labelle H, Roussouly P, Chopin D, Berthonnaud E, Hresko T, O'Brien M. Spino-pelvic alignment after surgical correction for developmental spondylolisthesis. Eur Spine J 2008; 17 (09) 1170-1176
    CrossrefPubMedSearch in Google Scholar
  • 17 Rajnics P, Templier A, Skalli W, Lavaste F, Illés T. The association of sagittal spinal and pelvic parameters in asymptomatic persons and patients with isthmic spondylolisthesis. J Spinal Disord Tech 2002; 15 (01) 24-30
    CrossrefPubMedSearch in Google Scholar
  • 18 Labelle H, Roussouly P, Berthonnaud E, Dimnet J, O'Brien M. The importance of spino-pelvic balance in L5-s1 developmental spondylolisthesis: a review of pertinent radiologic measurements. Spine 2005; 30 (06) S27-S34
    CrossrefPubMedSearch in Google Scholar
  • 19 Ghogawala Z, Dziura J, Butler WE. et al. Laminectomy plus fusion versus laminectomy alone for lumbar spondylolisthesis. N Engl J Med 2016; 374 (15) 1424-1434
    Search in Google Scholar
  • 20 Ishihara H, Osada R, Kanamori M. et al. Minimum 10-year follow-up study of anterior lumbar interbody fusion for isthmic spondylolisthesis. J Spinal Disord 2001; 14 (02) 91-99
    CrossrefPubMedSearch in Google Scholar
  • 21 Remes V, Lamberg T, Tervahartiala P. et al. Long-term outcome after posterolateral, anterior, and circumferential fusion for high-grade isthmic spondylolisthesis in children and adolescents: magnetic resonance imaging findings after average of 17-year follow-up. Spine 2006; 31 (21) 2491-2499
    CrossrefPubMedSearch in Google Scholar
  • 22 Kayali H, Kahraman S, Sirin S, Atabey C. Treatment of L5-S1 spondyloptosis with single-stage surgery through the posterior approach: case report. Neurol Med Chir (Tokyo) 2004; 44 (07) 386-390
    CrossrefPubMedSearch in Google Scholar
  • 23 Lehmer SM, Steffee AD, Gaines Jr RWJ. Treatment of L5-S1 spondyloptosis by staged L5 resection with reduction and fusion of L4 onto S1 (Gaines procedure). Spine 1994; 19 (17) 1916-1925
    CrossrefPubMedSearch in Google Scholar
  • 24 Hohmann F, Stürz H. Differential indications for lumbosacral fusion and reposition operation in spondylolisthesis. Orthopade 1997; 26 (09) 781-789
    CrossrefPubMedSearch in Google Scholar
  • 25 Jones-Quaidoo SM, Hunt T, Shaffrey CI, Arlet V. Return of normal urological and neurological function after revision surgery for spondyloptosis. Case report. J Neurosurg Spine 2007; 6 (03) 272-275
    CrossrefPubMedSearch in Google Scholar
  • 26 Mac-Thiong J-M, Labelle H. A proposal for a surgical classification of pediatric lumbosacral spondylolisthesis based on current literature. Eur Spine J 2006; 15 (10) 1425-1435
    CrossrefPubMedSearch in Google Scholar
  • 27 Bohlman HH, Cook SS. One-stage decompression and posterolateral and interbody fusion for lumbosacral spondyloptosis through a posterior approach. Report of two cases. J Bone Joint Surg Am 1982; 64 (03) 415-418
    CrossrefPubMedSearch in Google Scholar
  • 28 Donnally III CJ, Madhavan K, Butler AJ. et al. A novel technique for stabilization of high-grade spondylolisthesis with transvertebral fusion without reduction. J Clin Neurosci 2019; 60: 170-175
    CrossrefPubMedSearch in Google Scholar
  • 29 Metz-Stavenhagen P, Sambale R, Völpel H-J, von Stavenhagen N. Treatment of the spondylolisthesis: operation in situ or reposition spondylodesis. Orthopade 1997; 26 (09) 796-803
    CrossrefPubMedSearch in Google Scholar
  • 30 Tian W, Lang Z. Treatment of L5-S1 spondyloptosis with multiple pedicle defects through a combined anterior and posterior approach. World Neurosurg 2020; 137: 206-210
    CrossrefPubMedSearch in Google Scholar
  • 31 Viglione LL, Chamoli U, Diwan AD. Is stand-alone anterior lumbar interbody fusion a safe and efficacious treatment for isthmic spondylolisthesis of L5-S1?. Global Spine J 2017; 7 (06) 587-595
    CrossrefPubMedSearch in Google Scholar
  • 32 Bouyer B, Bachy M, Courvoisier A, Dromzee E, Mary P, Vialle R. High-grade lumbosacral spondylolisthesis reduction and fusion in children using transsacral rod fixation. Childs Nerv Syst 2014; 30 (03) 505-513
    CrossrefPubMedSearch in Google Scholar
  • 33 Bartolozzi P, Sandri A, Cassini M, Ricci M. One-stage posterior decompression-stabilization and trans-sacral interbody fusion after partial reduction for severe L5-S1 spondylolisthesis. Spine 2003; 28 (11) 1135-1141
    CrossrefPubMedSearch in Google Scholar
  • 34 Abdu WA, Wilber RG, Emery SE. Pedicular transvertebral screw fixation of the lumbosacral spine in spondylolisthesis. A new technique for stabilization. Spine 1994; 19 (06) 710-715
    CrossrefPubMedSearch in Google Scholar
  • 35 Lakshmanan P, Ahuja S, Lewis M, Howes J, Davies PR. Transsacral screw fixation for high-grade spondylolisthesis. Spine J 2009; 9 (12) 1024-1029
    CrossrefPubMedSearch in Google Scholar
  • 36 Jouve J-L, Blondel B, Fuentes S, Choufani E, Pesenti S, Bollini G. Circumferential fusion using a custom-made screw in the management of high-grade spondylolisthesis. Eur Spine J 2014; 23 (Suppl. 04) S457-S462
    CrossrefPubMedSearch in Google Scholar
  • 37 Muschik M, Zippel H, Perka C. Surgical management of severe spondylolisthesis in children and adolescents. Anterior fusion in situ versus anterior spondylodesis with posterior transpedicular instrumentation and reduction. Spine 1997; 22 (17) 2036-2042 , discussion 2043
    CrossrefPubMedSearch in Google Scholar
  • 38 Lindholm TS, Ragni P, Ylikoski M, Poussa M. Lumbar isthmic spondylolisthesis in children and adolescents. Radiologic evaluation and results of operative treatment. Spine 1990; 15 (12) 1350-1355
    CrossrefPubMedSearch in Google Scholar
  • 39 Mardjetko S, Albert T, Andersson G. et al. Spine/SRS spondylolisthesis summary statement. Spine 2005; 30 (06) S3
    CrossrefPubMedSearch in Google Scholar
  • 40 Molinari RW, Bridwell KH, Lenke LG, Ungacta FF, Riew KD. Complications in the surgical treatment of pediatric high-grade, isthmic dysplastic spondylolisthesis. A comparison of three surgical approaches. Spine 1999; 24 (16) 1701-1711
    CrossrefPubMedSearch in Google Scholar
  • 41 Ani N, Keppler L, Biscup RS, Steffee AD. Reduction of high-grade slips (grades III-V) with VSP instrumentation. Report of a series of 41 cases. Spine 1991; 16 (06) S302-S310
    CrossrefPubMedSearch in Google Scholar
  • 42 Boos N, Marchesi D, Zuber K, Aebi M. Treatment of severe spondylolisthesis by reduction and pedicular fixation. A 4-6-year follow-up study. Spine 1993; 18 (12) 1655-1661
    CrossrefPubMedSearch in Google Scholar
  • 43 Ruf M, Koch H, Melcher RP, Harms J. Anatomic reduction and monosegmental fusion in high-grade developmental spondylolisthesis. Spine 2006; 31 (03) 269-274
    CrossrefPubMedSearch in Google Scholar
  • 44 Hu SS, Bradford DS, Transfeldt EE, Cohen M. Reduction of high-grade spondylolisthesis using Edwards instrumentation. Spine 1996; 21 (03) 367-371
    CrossrefPubMedSearch in Google Scholar
  • 45 Fu K-MG, Smith JS, Polly Jr DWJ. et al. Morbidity and mortality in the surgical treatment of six hundred five pediatric patients with isthmic or dysplastic spondylolisthesis. Spine 2011; 36 (04) 308-312
    CrossrefPubMedSearch in Google Scholar
  • 46 Scheer JK, Auffinger B, Wong RH. et al. Minimally invasive transforaminal lumbar interbody fusion (TLIF) for spondylolisthesis in 282 patients: in situ arthrodesis versus reduction. World Neurosurg 2015; 84 (01) 108-113
    CrossrefPubMedSearch in Google Scholar
  • 47 Grzegorzewski A, Kumar SJ. In situ posterolateral spine arthrodesis for grades III, IV, and V spondylolisthesis in children and adolescents. J Pediatr Orthop 2000; 20 (04) 506-511
    CrossrefPubMedSearch in Google Scholar
  • 48 Boxall D, Bradford DS, Winter RB, Moe JH. Management of severe spondylolisthesis in children and adolescents. J Bone Joint Surg Am 1979; 61 (04) 479-495
    CrossrefPubMedSearch in Google Scholar
  • 49 Maurice HD, Morley TR. Cauda equina lesions following fusion in situ and decompressive laminectomy for severe spondylolisthesis. Four case reports. Spine 1989; 14 (02) 214-216
    CrossrefPubMedSearch in Google Scholar
  • 50 Harris IE, Weinstein SL. Long-term follow-up of patients with grade-III and IV spondylolisthesis. Treatment with and without posterior fusion. J Bone Joint Surg Am 1987; 69 (07) 960-969
    CrossrefPubMedSearch in Google Scholar
  • 51 Johnson JR, Kirwan EO. The long-term results of fusion in situ for severe spondylolisthesis. J Bone Joint Surg Br 1983; 65 (01) 43-46
    CrossrefPubMedSearch in Google Scholar
  • 52 Lenke LG, Bridwell KH, Bullis D, Betz RR, Baldus C, Schoenecker PL. Results of in situ fusion for isthmic spondylolisthesis. J Spinal Disord 1992; 5 (04) 433-442
    CrossrefPubMedSearch in Google Scholar
  • 53 Poussa M, Schlenzka D, Seitsalo S, Ylikoski M, Hurri H, Osterman K. Surgical treatment of severe isthmic spondylolisthesis in adolescents. Reduction or fusion in situ. Spine 1993; 18 (07) 894-901
    CrossrefPubMedSearch in Google Scholar
  • 54 Stanton RP, Meehan P, Lovell WW. Surgical fusion in childhood spondylolisthesis. J Pediatr Orthop 1985; 5 (04) 411-415
    CrossrefPubMedSearch in Google Scholar
  • 55 Bradford DS, Boachie-Adjei O. Treatment of severe spondylolisthesis by anterior and posterior reduction and stabilization. A long-term follow-up study. J Bone Joint Surg Am 1990; 72 (07) 1060-1066
    CrossrefPubMedSearch in Google Scholar
  • 56 Petraco DM, Spivak JM, Cappadona JG, Kummer FJ, Neuwirth MG. An anatomic evaluation of L5 nerve stretch in spondylolisthesis reduction. Spine 1996; 21 (10) 1133-1138 , discussion 1139
    CrossrefPubMedSearch in Google Scholar
  • 57 Lamartina C. Posterior instrumentation, reduction and fusion in spondyloptosis. Eur Spine J 2010; 19 (10) 1799-1800
    CrossrefPubMedSearch in Google Scholar
  • 58 Rindler RS, Miller BA, Eshraghi SR. et al. Efficacy of transsacral instrumentation for high-grade spondylolisthesis at L5-S1: a systematic review of the literature. World Neurosurg 2016; 95: 623.e11-623.e19
    CrossrefPubMedSearch in Google Scholar
  • 59 Longo UG, Loppini M, Romeo G, Maffulli N, Denaro V. Evidence-based surgical management of spondylolisthesis: reduction or arthrodesis in situ. J Bone Joint Surg Am 2014; 96 (01) 53-58
    CrossrefPubMedSearch in Google Scholar
  • 60 Cloward RB. Posterior lumbar interbody fusion updated. Clin Orthop Relat Res 1985; (193) 16-19
    PubMedSearch in Google Scholar
  • 61 Cloward RB. The treatment of ruptured lumbar intervertebral discs by vertebral body fusion. I. Indications, operative technique, after care. J Neurosurg 1953; 10 (02) 154-168
    CrossrefPubMedSearch in Google Scholar
  • 62 Hart RA, Domes CM, Goodwin B. et al. High-grade spondylolisthesis treated using a modified Bohlman technique: results among multiple surgeons. J Neurosurg Spine 2014; 20 (05) 523-530
    CrossrefPubMedSearch in Google Scholar
  • 63 Hire JM, Jacobs JM, Bundy JV, DeVine JG. A modified Bohlman technique using a novel implant for treatment of high-grade spondylolisthesis. J Neurosurg Spine 2015; 22 (01) 80-83
    CrossrefPubMedSearch in Google Scholar
  • 64 Kerolus M, Turel MK, Tan L, Deutsch H. Stand-alone anterior lumbar interbody fusion: indications, techniques, surgical outcomes and complications. Expert Rev Med Devices 2016; 13 (12) 1127-1136
    CrossrefPubMedSearch in Google Scholar
  • 65 Gaines RW, Nichols WK. Treatment of spondyloptosis by two stage L5 vertebrectomy and reduction of L4 onto S1. Spine 1985; 10 (07) 680-686
    CrossrefPubMedSearch in Google Scholar
  • 66 Gelosi J. Espondiloptosis: técnica de Gaines. Rev Asoc Argent Ortop Traumatol 1999; 65: 299-301
    Search in Google Scholar
  • 67 Gaines RW. L5 vertebrectomy for the surgical treatment of spondyloptosis: thirty cases in 25 years. Spine 2005; 30 (06) S66-S70
    CrossrefPubMedSearch in Google Scholar
  • 68 Obeid I, Laouissat F, Bourghli A, Boissière L, Vital J-M. One-stage posterior spinal shortening by L5 partial spondylectomy for spondyloptosis or L5-S1 high-grade spondylolisthesis management. Eur Spine J 2016; 25 (02) 664-670
    CrossrefPubMedSearch in Google Scholar
  • 69 Wild A, Jäger M, Werner A, Eulert J, Krauspe R. Treatment of congenital spondyloptosis in an 18-month-old patient with a 10-year follow-up. Spine 2001; 26 (21) E502-E505
    CrossrefPubMedSearch in Google Scholar
  • 70 Shufflebarger HL, Geck MJ. High-grade isthmic dysplastic spondylolisthesis: monosegmental surgical treatment. Spine 2005; 30 (06) S42-S48
    CrossrefPubMedSearch in Google Scholar
  • 71 Kuklo TR, Bridwell KH, Lewis SJ. et al. Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws. Spine 2001; 26 (18) 1976-1983
    CrossrefPubMedSearch in Google Scholar
  • 72 Chen Z, Wu W, Xiong H. et al. Systematic review and meta-analysis of the therapeutic effects of minimally invasive transforaminal interbody fusion on spondylolisthesis. Ann Palliat Med 2021; 10 (09) 9848-9858
    CrossrefPubMedSearch in Google Scholar
  • 73 Alvi MA, Kerezoudis P, Alamoudi A. et al. Minimally invasive percutaneous approach for the management of high grade spondylolisthesis. J Neurosurg Sci 2018; 62 (04) 521-522
    PubMedSearch in Google Scholar
  • 74 Mehdian SH, Arun R. A new three-stage spinal shortening procedure for reduction of severe adolescent isthmic spondylolisthesis: a case series with medium- to long-term follow-up. Spine 2011; 36 (11) E705-E711
    CrossrefPubMedSearch in Google Scholar
  • 75 Hoffmann C-H, Kandziora F. Minimally invasive transforaminal lumbar interbody fusion. Oper Orthop Traumatol 2020; 32 (03) 180-191
    CrossrefPubMedSearch in Google Scholar