Return of normal urological and neurological function after revision surgery for spondyloptosis. Case report.

Journal Article (Journal Article)

The authors report on the return of neurological and urological function in an adolescent after revision surgery for spondyloptosis 5 years after the index procedure for high-grade spondylolisthesis. This 16-year-old girl with Grade 3 spondylolisthesis was initially treated with a posterolateral reduction and fusion. Following surgery, cauda equina syndrome symptoms developed and did not resolve despite subsequent surgical decompression. Five years later, because of worsening radicular pain, an inability to walk for significant distances, and no resolution of persistent bladder dysfunction, the patient presented with spondyloptosis. Posterior decompression, sacral dome osteotomy, and posterior reduction were performed and followed 3 days later with the placement of an anterior fibula autograft. Her bladder function recovered within 6 months, and at the 18-month follow up the patient reported a normal ability to ambulate.

Full Text

Duke Authors

Cited Authors

  • Jones-Quaidoo, SM; Hunt, T; Shaffrey, CI; Arlet, V

Published Date

  • March 2007

Published In

Volume / Issue

  • 6 / 3

Start / End Page

  • 272 - 275

PubMed ID

  • 17355027

International Standard Serial Number (ISSN)

  • 1547-5654

Digital Object Identifier (DOI)

  • 10.3171/spi.2007.6.3.272


  • eng

Conference Location

  • United States