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- Title
Early postoperative sacral fracture after short-segment posterior lumbar interbody fusion for L5/S1 isthmic spondylolisthesis: A case report.
- Authors
Toshinari Kawasaki; Motohiro Takayama; Yoshinori Maki; Tamaki Kobayashi; Yoshihiko Ioroi
- Abstract
Background: Early postoperative sacral fractures are extremely rare complications of single-level posterior lumbar interbody fusions (PLIFs). Case Description: A 71-year-old female presented with lower back pain and right S1 radiculopathy attributed to MR-documented L5/S1 isthmic spondylolisthesis. Following a L5 laminectomy and bilateral L5/S1 PLIF, she experienced sacral pain while sitting. When the MR showed a sacral insufficiency fracture with anterolisthesis at L5/S1, a secondary posterior fusion was extended to the pelvis, utilizing bilateral iliac screws. Following this reoperation, the patient did well and went on to achieve arthrodesis. Conclusion: Early postoperative sacral fractures that occur following single-segment L5/S1 PLIF for isthmic spondylolisthesis warrant fusion to the pelvis with bilateral iliac screws.
- Subjects
SPONDYLOLISTHESIS; SACRAL fractures; SPINAL fusion; LAMINECTOMY; LUMBAR pain
- Publication
Surgical Neurology International, 2022, Vol 13, p1
- ISSN
2229-5097
- Publication type
Case Study
- DOI
10.25259/SNI_189_2022