METHODS: A 17-year-old female with EDS presented to the authors\' institute with severe lower back and left L5 radicular pain in 2017. She presented with a left foot drop and difficulty ambulating. Magnetic resonance imaging showed grade IV L5-S1 spondylolisthesis. She underwent lumbar fusion for intractable back pain with radiculopathy. Intraoperatively, percutaneous SASs and extension towers were used to distract the L5-S1 disc space and reduce the spondylolisthesis. MI transforaminal lumbar interbody fusion was completed with significant symptomatic relief postoperatively. The patient was discharged to home 3 days postoperatively. Routine follow-up visits up to 3 years later demonstrated solid fusion radiographically and favorable patient-reported outcomes.
CONCLUSIONS: The authors used SASs in a MI approach to successfully correct and stabilize grade IV spondylolisthesis in an EDS patient with a favorable long-term patient-reported outcome.
方法:2017年,一名患有EDS的17岁女性患者出现严重的下背部和左L5神经根疼痛。她左脚下垂,行走困难。磁共振成像显示IV级L5-S1滑脱。她接受了腰椎融合术治疗患有神经根病的顽固性背痛。术中,经皮SASs和延伸塔用于分散L5-S1椎间盘间隙并减少腰椎滑脱。MI经椎间孔腰椎椎间融合术完成,术后症状明显缓解。患者术后3天出院回家。直到3年后的常规随访显示了放射学上的固体融合和患者报告的良好结果。
结论:作者在MI方法中使用SASs成功地纠正和稳定了EDS患者的IV级腰椎滑脱,并具有良好的长期患者报告结果。