Dysplastic L5-S1 Spondyloptosis in a 3-Year-Old Child: A Case Report and Review of the Literature

A three-year-old girl presented with primary complaint of severe low back pain with radiation to both lower limbs below the knees since 2 months following history of fall and marked restriction of her daily routine activities. After clinicoradiological evaluation she was diagnosed of having dysplast...

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Main Authors: Vikas Tandon, Rahul Kaul, Harvinder Singh Chhabra, Ankur Nanda
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2017/1892502
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author Vikas Tandon
Rahul Kaul
Harvinder Singh Chhabra
Ankur Nanda
author_facet Vikas Tandon
Rahul Kaul
Harvinder Singh Chhabra
Ankur Nanda
author_sort Vikas Tandon
collection DOAJ
description A three-year-old girl presented with primary complaint of severe low back pain with radiation to both lower limbs below the knees since 2 months following history of fall and marked restriction of her daily routine activities. After clinicoradiological evaluation she was diagnosed of having dysplastic L5-S1 spondyloptosis. A staged procedure was planned after thorough discussion with her parents. During initial stage she underwent posterior decompression along L5-S1 segment including exposure of bilateral L5 and S1 nerve roots followed by instrumented reduction (L3-S2 5.5 mm pedicle screws) utilizing a rotational-translational technique. No interbody fusion was done at L5-S1 level and inner nuts of bilateral L3, L4, and S2 screws were intentionally kept loose. Subsequently after about symptom-free three-year follow up, she presented with recurrence of symptoms and underwent revision surgery as per initial plan discussed with her parents. Removals of posterior implants were done followed by stabilization with larger diameter pedicle screws (6.5 mm) at L5 and S1 level. During the same stage through anterior transperitoneal approach L5-S1 interbody fusion was done. At one-year follow-up after second-stage definitive surgery, patient remains symptom-free and fully active without any radiological evidence of reduction loss or implant failure.
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spelling doaj-art-67fac5ca9d064a5d87a08d3cfa51f86b2025-02-03T01:02:27ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/18925021892502Dysplastic L5-S1 Spondyloptosis in a 3-Year-Old Child: A Case Report and Review of the LiteratureVikas Tandon0Rahul Kaul1Harvinder Singh Chhabra2Ankur Nanda3Spine Department, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, IndiaSpine Department, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, IndiaSpine Department, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, IndiaSpine Department, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, IndiaA three-year-old girl presented with primary complaint of severe low back pain with radiation to both lower limbs below the knees since 2 months following history of fall and marked restriction of her daily routine activities. After clinicoradiological evaluation she was diagnosed of having dysplastic L5-S1 spondyloptosis. A staged procedure was planned after thorough discussion with her parents. During initial stage she underwent posterior decompression along L5-S1 segment including exposure of bilateral L5 and S1 nerve roots followed by instrumented reduction (L3-S2 5.5 mm pedicle screws) utilizing a rotational-translational technique. No interbody fusion was done at L5-S1 level and inner nuts of bilateral L3, L4, and S2 screws were intentionally kept loose. Subsequently after about symptom-free three-year follow up, she presented with recurrence of symptoms and underwent revision surgery as per initial plan discussed with her parents. Removals of posterior implants were done followed by stabilization with larger diameter pedicle screws (6.5 mm) at L5 and S1 level. During the same stage through anterior transperitoneal approach L5-S1 interbody fusion was done. At one-year follow-up after second-stage definitive surgery, patient remains symptom-free and fully active without any radiological evidence of reduction loss or implant failure.http://dx.doi.org/10.1155/2017/1892502
spellingShingle Vikas Tandon
Rahul Kaul
Harvinder Singh Chhabra
Ankur Nanda
Dysplastic L5-S1 Spondyloptosis in a 3-Year-Old Child: A Case Report and Review of the Literature
Case Reports in Orthopedics
title Dysplastic L5-S1 Spondyloptosis in a 3-Year-Old Child: A Case Report and Review of the Literature
title_full Dysplastic L5-S1 Spondyloptosis in a 3-Year-Old Child: A Case Report and Review of the Literature
title_fullStr Dysplastic L5-S1 Spondyloptosis in a 3-Year-Old Child: A Case Report and Review of the Literature
title_full_unstemmed Dysplastic L5-S1 Spondyloptosis in a 3-Year-Old Child: A Case Report and Review of the Literature
title_short Dysplastic L5-S1 Spondyloptosis in a 3-Year-Old Child: A Case Report and Review of the Literature
title_sort dysplastic l5 s1 spondyloptosis in a 3 year old child a case report and review of the literature
url http://dx.doi.org/10.1155/2017/1892502
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AT harvindersinghchhabra dysplasticl5s1spondyloptosisina3yearoldchildacasereportandreviewoftheliterature
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