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...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2017/1892502 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832567037188112384 |
|---|---|
| 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. |
| format | Article |
| id | doaj-art-67fac5ca9d064a5d87a08d3cfa51f86b |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| 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 |
| work_keys_str_mv | AT vikastandon dysplasticl5s1spondyloptosisina3yearoldchildacasereportandreviewoftheliterature AT rahulkaul dysplasticl5s1spondyloptosisina3yearoldchildacasereportandreviewoftheliterature AT harvindersinghchhabra dysplasticl5s1spondyloptosisina3yearoldchildacasereportandreviewoftheliterature AT ankurnanda dysplasticl5s1spondyloptosisina3yearoldchildacasereportandreviewoftheliterature |