Grade slip Symptoms present Treatment I/II No Radiographic follow-up I/II Yes Activity modification, bracing; surgery for failed conservative management III/IV No Fusion III/IV Yes Fusion The focus of this chapter…
Fig. 18.1 Classification of high-grade spondylolisthesis as proposed by SDSG for spino-pelvic posture in high-grade spondylolisthesis. [Reprinted from Labelle H, Mac-Thiong JM, Roussouly P. Spino-pelvic sagittal balance of spondylolisthesis: a…
Fig. 14.1 Schematic drawing of a patient positioned supine on a radiolucent table and a break at the level of the lumbar spine. This allows for hyperlordosis with easier exposure…
Fig. 3.1 Neuroanatomy of the lumbar spinal nerve roots and branches. [Reprinted from van Kleef M, Vanelderen P, Cohen SP, Lataster A, Van Zundert J, Mekhail N. 12. Pain originating…
Fig. 2.1 Sagittal spine radiograph showing a plumb line dropped from the dens that intersects the sacrum and falls posterior to the bi-femoral axis showing neutral sagittal balance Sacropelvic Alignment…
Fig. 20.1 Patient was a 23-year-old man who sustained a Type II Hangman’s fracture after a motor vehicle collision. (a, b) Sagittal view CT scans. (c, d) Axial view CT…
1. Neurologic Nerve root injury Compression Traction Dural tear Autonomic dysfunction Retrograde ejaculation Cauda equina syndrome Chronic pain Peripheral neuropathy secondary to compression 2. Pseudoarthrosis Severe grade spondylolithesis 3. Slip…
Fig. 22.1 (a) Representative lateral radiograph of degenerative spondylolisthesis; (b) AP radiograph of a noninstrumented posterolateral fusion. Arrows demonstrate a cleft in the intertransverse process fusion mass, indicative of a…
Direct nerve root stimulation-L5 Threshold (mA) Normal root threshold 1 First stimulation medial to pedicle 5–13 Lateral exposure and decompression of L5 root 3–8 Discectomy, sacral dome osteotomy 3–8 Reduction…
Fig. 23.1 Radiographs of a 16-year-old female with a 2-year history of chronic low back pain worse in extension. Right (a) and left (b) CT sagittal reconstruction and axial (c)…
