Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel

Two-level reverse Bohlman transsoseous approach for treatment of symptomatic pseudarthrosis.

Publication ,  Journal Article
Krause, KL; DeDeaux, C; Jung, E; Than, KD
Published in: Br J Neurosurg
February 2019

Surgical treatment for high-grade spondylolisthesis with high sacral slope remains controversial and no definitive gold standard procedure has been identified. The Bohlman technique, in which a fibular strut is reamed posteriorly across the L5-S1 disc space in an oblique, inferior to superior trajectory, has been increasingly utilized. Recently, a Reverse Bohlman technique has been described, in which a graft is reamed anteriorly across a single disc space in a superior to inferior trajectory. Case Report A 55 year-old male with complete lumbarization of S1 (referred to as L6) and previous L5-L6-S1 posterior instrumented fusion presented, with progressively worsening low back pain and lower extremity radicular pain. After failing conservative management, he underwent a 2-level Reverse Bohlman approach to place a titanium mesh interbody graft (cage) anteriorly from L5 to S1, crossing the L5-6 and L6-S1 disc spaces. Here we describe for the first time a Reverse Bohlman technique spanning two disc spaces in a patient with a transitional lumbosacral anomaly and high sacral slope. At 6 months post-operative follow up, the patient reported near complete resolution of symptoms.

Duke Scholars

Published In

Br J Neurosurg

DOI

EISSN

1360-046X

Publication Date

February 2019

Volume

33

Issue

1

Start / End Page

84 / 87

Location

England

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Titanium
  • Spondylolisthesis
  • Spinal Fusion
  • Sacrum
  • Retrospective Studies
  • Reoperation
  • Pseudarthrosis
  • Postoperative Period
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Krause, K. L., DeDeaux, C., Jung, E., & Than, K. D. (2019). Two-level reverse Bohlman transsoseous approach for treatment of symptomatic pseudarthrosis. Br J Neurosurg, 33(1), 84–87. https://doi.org/10.1080/02688697.2018.1525481
Krause, Katie L., Caitlin DeDeaux, Enjae Jung, and Khoi D. Than. “Two-level reverse Bohlman transsoseous approach for treatment of symptomatic pseudarthrosis.Br J Neurosurg 33, no. 1 (February 2019): 84–87. https://doi.org/10.1080/02688697.2018.1525481.
Krause KL, DeDeaux C, Jung E, Than KD. Two-level reverse Bohlman transsoseous approach for treatment of symptomatic pseudarthrosis. Br J Neurosurg. 2019 Feb;33(1):84–7.
Krause, Katie L., et al. “Two-level reverse Bohlman transsoseous approach for treatment of symptomatic pseudarthrosis.Br J Neurosurg, vol. 33, no. 1, Feb. 2019, pp. 84–87. Pubmed, doi:10.1080/02688697.2018.1525481.
Krause KL, DeDeaux C, Jung E, Than KD. Two-level reverse Bohlman transsoseous approach for treatment of symptomatic pseudarthrosis. Br J Neurosurg. 2019 Feb;33(1):84–87.

Published In

Br J Neurosurg

DOI

EISSN

1360-046X

Publication Date

February 2019

Volume

33

Issue

1

Start / End Page

84 / 87

Location

England

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Titanium
  • Spondylolisthesis
  • Spinal Fusion
  • Sacrum
  • Retrospective Studies
  • Reoperation
  • Pseudarthrosis
  • Postoperative Period