Case Study: Lumbar Spondylolisthesis 1
HISTORY
- The patient is a 47-year-old disabled, obese, female smoker with diabetes and severe low back pain.
PHYSICAL EXAM
- She had severe low back spasms, stiffness, hamstring tightness and bilateral leg weakness.
PREOPERATIVE IMAGING
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
DIAGNOSIS
- Lumbar spondylolisthesis with bilateral L5 pars fractures and high sacral slope
SURGERY
- 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
POSTOPERATIVE IMAGING
OUTCOMES
- 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.
Hospital Affiliations
Mt. Sinai
Saint Barnabas Medical Center
Lenox Hill
Formerly St. Luke’s-Roosevelt
Hospital in Manhattan
Livingston, NJ
Formerly Lenox Hill Hospital
in Manhattan
Outpatient Surgery Centers
Malo Surgery Center
201 Route 17 North 12th floor
Rutherford, NJ 07070
Phone: 201-549-8890
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Midtown Surgery Center
305 East 47th St.
New York, NY 10017
Phone: 212-751-2100
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Advanced Spine Surgery Center
855 Lehigh Ave,
Union, NJ 07083
Phone: 908-557-9420
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Denville Surgery Center LLC
3130 Route 10 West
Denville, NJ 07834
Phone: 973-328-3475
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