Skip to main content

Treatment of Spondyloptosis by L5 Vertebrectomy with Reduction of L4 onto S1 — A 20-year Review

  • Chapter
Severe Spondylolisthesis
  • 146 Accesses

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).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Boxall D, Bradford DS, Winter RB, Moe JH (1979) Management of severe spondy-lolisthesis in children and adolescents. JBJS 61-A:479–495

    Google Scholar 

  2. Bradford DS (1979) Treatment of severe spondylolisthesis. Spine 4:423–429

    Article  PubMed  CAS  Google Scholar 

  3. Bradford DS, Gotfried Y (1987) Staged salvage reconstruction of grade-IV and V spondylolisthesis. JBJS 69-A:191–202

    Google Scholar 

  4. 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

    CAS  Google Scholar 

  5. 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

    Google Scholar 

  6. 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

    Google Scholar 

  7. Edwards CC (1994) Reduction and fusion of spondyloptosis: Long term follow up. SRS, Portland, Oregon

    Google Scholar 

  8. Gaines RW, Nichols WK (1985) Treatment of spondyloptosis by two-stage L5 vertebrectomy and reduction of L4 onto S1. Spine 10:680

    Article  PubMed  CAS  Google Scholar 

  9. Harrington PR, Dickson JH (1976) Spinal instrumentation in the treatment of severe progressive spondylolisthesis. Clin Ortho 117:157–163

    Google Scholar 

  10. 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

    CAS  Google Scholar 

  11. Leatherman KD, Dickson RA (1979) Two-stage corrective surgery for congenital deformities of the spine. JBJS 61-B:324–328

    CAS  Google Scholar 

  12. 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

    Article  PubMed  CAS  Google Scholar 

  13. Maurice HD, Morley TR (1989) Cauda Equina Lesions following fusion in situ and decompressive laminectomy for severe spondylolisthesis. Spine 14:214–216

    Article  PubMed  CAS  Google Scholar 

  14. McPhee IB, O’Brien JP (1979) Reduction of severe spondylolisthesis — a preliminary report. Spine 4(5):430–434

    Article  PubMed  CAS  Google Scholar 

  15. 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

    Google Scholar 

  16. 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

    Google Scholar 

  17. 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

    Google Scholar 

  18. Seitsalo S, Osterman K, Huyvarinen H, Schlenzka D, Poussa M (1990) Severe spondylolisthesis in children and adolescents. JBJS 72-B:259–262

    Google Scholar 

  19. Sijbrandij S (1983) Reduction and stabilization of severe spondylolisthesis. A report of three cases. J Bone Joint Surg (Br) 65:40

    CAS  Google Scholar 

  20. 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

    Google Scholar 

  21. Transfeldt EE, Dendrinos GK, Bradford DS (1989) Briefly noted: Paresis of proximal lumbar roots after reduction of L5-S1 spondylolisthesis. Spine 14:884

    Article  PubMed  CAS  Google Scholar 

  22. 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

    Article  PubMed  CAS  Google Scholar 

  23. Wiltse LL, Winter RB (1983) Terminology and measurement of spondylolisthesis. JBJS 65-A:768–772

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2002 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

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

Download citation

  • 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

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics