Case Study: Lumbar Spondylolisthesis 1
- The patient is a 47-year-old disabled, obese, female smoker with diabetes and severe low back pain.
- She had severe low back spasms, stiffness, hamstring tightness and bilateral leg weakness.
Lateral Xray, sagital CT and sagital MRI showing: L5-S1 spondylolisthesis, severe disc collapse, high sacral slope (high angulation of the sacrum), deformity of the vertebral body of L5 and S1 and sclerosis
- Lumbar spondylolisthesis with bilateral L5 pars fractures and high sacral slope
- MIS (minimally invasive surgery) TLIF (transforaminal lumbar interbody fusion) with percutaneous pedicle screws placed between muscle planes
- 1.5 hours of operative time
- 10 cc blood loss
- The patient was discharged home the same day as surgery with an immediate improvement of all her symptoms on oral pain medications.
- In a patient with her characteristics (smoker, diabetic and obese), surgical complications are high. MIS surgery reduces the risks and can be performed with much less pain, no muscle dissection, two separate 2 cm incisions, minimal blood loss and low risks of complications, including infection.
Saint Barnabas Medical Center
Formerly St. Luke’s-Roosevelt
Hospital in Manhattan
Formerly Lenox Hill Hospital