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High-Grade Dysplastic Spondylolisthesis Surgery Complication

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Spinal Deformity

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Abstract

High-grade lumbosacral spondylolisthesis is a heterogeneous developmental disorder that often manifests clinically in childhood and adolescence. Pain, hamstring tightness, cosmetic deformity, neurologic symptoms, and sagittal malalignment are common accompanying symptoms that may result in varying degrees of functional and psychological disability. Associated disability and health-related quality of life (HRQoL) scores have been consistently correlated with severity of global sagittal malalignment and abnormal lumbopelvic alignment in children and adolescents with high-grade lumbosacral spondylolisthesis. In this chapter, we present a case of an adolescent with a high-grade dysplastic spondylolisthesis (Labelle type 5) that was initially treated with in situ posterolateral fusion and instrumentation. Eight years after the operation, she developed instrumentation failure with associated pseudarthrosis. We discuss the revision operation used to address this complication as well as the most current evidence to support how this complication may have been prevented with a different initial surgical strategy using interbody support and a reduction to improve regional and global sagittal malalignment.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of California – San Francisco (UCSF), 500 Parnassus Avenue, MU West 3rd Floor, San Francisco, CA, 94143, USA

    Alexander A. Theologis & Sigurd H. Berven

  2. Department of Orthopaedic Surgery, Ohio State University, 543 Taylor Ave, Columbus, OH, 43212, USA

    Yazeed M. Gussous

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  1. Alexander A. Theologis
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  2. Yazeed M. Gussous
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  3. Sigurd H. Berven
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Correspondence to Sigurd H. Berven .

Editor information

Editors and Affiliations

  1. Joan O’Reilly Endowed Professor in Spinal Surgery, Vice Chairman, Department of Neurosurgery, University of California, San Francisco, California, USA

    Praveen V. Mummaneni

  2. Professor, Director of Spinal Surgery, Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA

    Paul Park

  3. University of Louisville, Norton Leatherman Spine Center, Louisville, Kentucky, USA

    Charles H. Crawford III

  4. Chief, Division of Spine Surgery, Associate Professor of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

    Adam S. Kanter

  5. Department of Orthopedic Surgery, University of Louisville, Norton Leatherman Spine Center, Louisville, Kentucky, USA

    Steven D. Glassman

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Theologis, A.A., Gussous, Y.M., Berven, S.H. (2018). High-Grade Dysplastic Spondylolisthesis Surgery Complication. In: Mummaneni, P., Park, P., Crawford III, C., Kanter, A., Glassman, S. (eds) Spinal Deformity . Springer, Cham. https://doi.org/10.1007/978-3-319-60083-3_33

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  • DOI: https://doi.org/10.1007/978-3-319-60083-3_33

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