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European Spine Journal

, Volume 25, Issue 10, pp 3027–3031 | Cite as

The management of high-grade spondylolisthesis and co-existent late-onset idiopathic scoliosis

  • Abhishek SrivastavaEmail author
  • Edward Bayley
  • Bronek M. Boszczyk
Grand Rounds

Abstract

Introduction

Open image in new window It is relatively common for a scoliosis deformity to be associated with a lumbar spondylolisthesis in adolescents (up to 48 % of spondylolistheses). In the literature two types of curve have been described: ‘sciatic’ or ‘olisthetic’. However, there is no consensus in the literature on how best to treat these deformities. Some authors advocate a single surgical intervention, where both deformities are corrected; whereas, others advocate treating them as separate entities. In this situation, it has been shown that the scoliosis will correct with treatment of the spondylolisthesis.

Materials and methods

We present a 12-year-old girl who had a concomitant high-grade spondylolisthesis and scoliosis. Her main complaints were those of low back pain and an L5 radiculopathy. We took the decision to treat the spondylolisthesis surgically, but observe the scoliosis, rather than correcting them both surgically at the same sitting.

Results

Although the immediately post-operative radiographs showed persistence of the scoliosis, 1-year follow-up demonstrated full resolution of the deformity. This young lady also had relief of her low back pain and leg pain following the surgery.

Conclusion

There are no standard guidelines and therefore, we discuss the management of this difficult problem, exemplifying a case of a young girl who had high-grade spondylolisthesis along with a clinically non-flexible scoliosis treated at our institution. We demonstrate that it is safe to observe the scoliosis, even in high-grade spondylolistheses.

Keywords

High-grade spondylolisthesis Adolescent idiopathic scoliosis Co-existent 

Notes

Conflict of interest

None.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Abhishek Srivastava
    • 1
    Email author
  • Edward Bayley
    • 1
  • Bronek M. Boszczyk
    • 1
  1. 1.Centre for Spinal Studies and SurgeryQueen’s Medical CentreNottinghamUK

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