Case Study: Lumbar Spondylolisthesis 2
- The patient is a 34-year-old, obese, female school teacher with depression who has suffered from many years of low back and leg pain. She was not able to exercise because of her pain and was dependent on narcotic medications.
- The patient is 340 lbs. with severe lumbar spasms, stiffness and a change in sensation in both legs.
Lateral and AP Xrays of the lumbar spine showing L5-S1 spondylolisthesis, with complete disc collapse.
- Lumbar spondylolisthesis with bilateral L5 pars fractures
- MIS (minimally invasive surgery), TLIF (transforaminal lumbar interbody fusion) with percutaneous pedicle screws placed between muscle planes
- 1.25 hours of operative time
- 15 cc blood loss
Lateral and AP X-rays of the lumbar spine showing correction of the spondylolisthesis, with restoration of the disc space with a cage placed through a minimally invasive access port and percutaneous screws placed between muscle planes.
- The patient went home the same day on oral pain medications with her back pain resolved and only incisional pain from the surgery.
- She returned to her teaching job two weeks following surgery.
- In a patient with her characteristics (young and obese), MIS surgery was performed with minimal muscle dissection – reducing her risk for future back surgery.
- Six months after the surgery, the patient had improved her mobility, lost 140 lbs. and was exercising with no back or leg pain. Her depression improved and she is enjoying her life free of narcotic medications.
Saint Barnabas Medical Center
Formerly St. Luke’s-Roosevelt
Hospital in Manhattan
Formerly Lenox Hill Hospital