Abstract
Spondyloptosis is the most severe form of spondylolisthesis. When the entire vertebral body of L5 is below the upper part of S1, on a standing lateral X-ray, the patient has spondyloptosis (Fig. 1). The slip angle, as defined by Boxall and Bradford [1], can vary remarkably within the population of patients who have spondyloptosis (Fig. 2).
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References
Boxall D, Bradford DS, Winter RB, Moe JH (1979) Management of severe spondy-lolisthesis in children and adolescents. JBJS 61-A:479–495
Bradford DS (1979) Treatment of severe spondylolisthesis. Spine 4:423–429
Bradford DS, Gotfried Y (1987) Staged salvage reconstruction of grade-IV and V spondylolisthesis. JBJS 69-A:191–202
DeWald RL, Faut MM, Taddonio RF, Neuwirth MG (1981) Severe lumbosacral spondylolisthesis in adolescents and children. Reduction and staged circumferential fusion. J Bone Joint Surg (Am) 63:619
Edwards C (1990) Prospective evaluation of a new method for complete reduction of L5-S1 spondylolisthesis using corrective forces alone. Presented at the American Academy of Orthopaedic Surgeons, New Orleans, Louisiana
Edwards CC (1991) Reduction of spondylolisthesis. Chapter 24. In: Bridwell KH, DeWald RL (Ed) The Textbook of Spinal Surgery. JB Lippincott, Philadelphia, pp 605–634
Edwards CC (1994) Reduction and fusion of spondyloptosis: Long term follow up. SRS, Portland, Oregon
Gaines RW, Nichols WK (1985) Treatment of spondyloptosis by two-stage L5 vertebrectomy and reduction of L4 onto S1. Spine 10:680
Harrington PR, Dickson JH (1976) Spinal instrumentation in the treatment of severe progressive spondylolisthesis. Clin Ortho 117:157–163
Harris IE, Weinstein SL (1987) Long-term follow-up of patients with grade III and IV spondylolisthesis. Treatment with and without posterior fusion. J Bone Joint Surg (Am) 69:960
Leatherman KD, Dickson RA (1979) Two-stage corrective surgery for congenital deformities of the spine. JBJS 61-B:324–328
Lehmer SM, Steffee AD, Gaines RW (1994) Treatment of L5-S1 spondyloptosis by staged L5 resection with reduction and fusion of L4 onto SI (gaines procedure). Spine 19(17):1916–1925
Maurice HD, Morley TR (1989) Cauda Equina Lesions following fusion in situ and decompressive laminectomy for severe spondylolisthesis. Spine 14:214–216
McPhee IB, O’Brien JP (1979) Reduction of severe spondylolisthesis — a preliminary report. Spine 4(5):430–434
O’Brien JP (1991) Surgical reduction of severe spondylolisthesis. Part I, Chapter 4. In: Dudley H, Carter D, Russell RAG (Eds) Operative Surgery. Butterworth-Heinemann, pp 549–558
Peek RD, Wiltse LL, Reynolds JB, Thomas JC, Guyer DW, Widell EH (1989) In situ arthrodesis without decompression for grade-III or IV isthmic spondylolisthesis in adults who have severe sciatica. JBJS 71-A:62–67
Schoenecker PL, Cole HO, Herring JA, Capelli AM, Bradford DS (1990) Cauda equina syndrome after in situ arthrodesis for severe spondylolisthesis at the lum-bosacral junction. JBJS 72-A:369–377
Seitsalo S, Osterman K, Huyvarinen H, Schlenzka D, Poussa M (1990) Severe spondylolisthesis in children and adolescents. JBJS 72-B:259–262
Sijbrandij S (1983) Reduction and stabilization of severe spondylolisthesis. A report of three cases. J Bone Joint Surg (Br) 65:40
Smith MD, Bohlman HH (1990) Spondylolisthesis treated by a single-stage operation combining decompression with in situ posterolateral and anterior fusion. JBJS 72-A:415–421
Transfeldt EE, Dendrinos GK, Bradford DS (1989) Briefly noted: Paresis of proximal lumbar roots after reduction of L5-S1 spondylolisthesis. Spine 14:884
Verbiest H (1979) The treatment of lumbar spondyloptosis or impending lumbar spondyloptosis accompanied by neurologic deficit and/or neurogenic intermittent claudication. Spine 4:68–77
Wiltse LL, Winter RB (1983) Terminology and measurement of spondylolisthesis. JBJS 65-A:768–772
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Gaines, R.W., Nichols, W.K. (2002). Treatment of Spondyloptosis by L5 Vertebrectomy with Reduction of L4 onto S1 — A 20-year Review. In: Harms, J., Stürz, H. (eds) Severe Spondylolisthesis. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57525-9_12
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DOI: https://doi.org/10.1007/978-3-642-57525-9_12
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-642-63285-3
Online ISBN: 978-3-642-57525-9
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