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Case Report
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| Surgical treatment of high-dysplastic developmental spondylolisthesis in a child: A case report | ||||||
| Nalli Ramanathan Uvaraj1, Aju Bosco2 | ||||||
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1MS, (Orth), DNB, MNAMS, Professor of Spine Surgery, Spine Unit, Institute of Orthopedics and Traumatology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India.
2MS, (Orth), DNB, Assistant Professor of Orthopedics, Department of Orthopedics and Traumatology, Government Mohan Kumaramangalam Medical College and Superspeciality Hospital, Salem. Tamil Nadu, India. | ||||||
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| How to cite this article |
| Uvaraj NR, Bosco A. Surgical treatment of high-dysplastic developmental spondylolisthesis in a child: A case report. Int J Case Rep Images 2014;5(11):784–789. |
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Abstract
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Introduction:
High-dysplastic developmental spondylolisthesis (HDDS) is extremely rare, comprising 5% of the total cases of spondylolisthesis. It can remain asymptomatic for a long time and can progress to a more severe grade of olisthesis and spondyloptosis. Opinions regarding the surgical management of high-grade dysplastic spondylolisthesis in children and adolescents still remain conflicting and controversial.
Case Report: This case describes a 12-year-old girl with high-grade dysplastic L5-S1 spondylolisthesis with instability pain, managed with uninstrumented in situ circumferential fusion. The patient showed excellent clinical, functional and radiological outcomes at follow-up of 48th month. Since, plain radiographs and conventional computed tomography (CT) scan failed to show convincing anterior intercorporal fusion, we did fusion analysis with a multi-slice helical tomography scan with multiplanar reconstruction. The reconstructed multiplanar images defined a good posterolateral and anterior intercorporal fusion. Conclusion: Uninstrumented in situ circumferential fusion is a safe and effective surgical option in the management of high-grade L5-S1 dysplastic spondylolisthesis in children and adolescents. Multi-slice helical CT scan with multiplanar reconstruction is the modality of choice in the evaluation of interbody fusion and its progression. | |
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Keywords:
Spondylolisthesis, Child, High-grade, Uninstrumented in situ circumferential fusion
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Author Contributions
Nalli Ramanathan Uvaraj – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Aju Bosco – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Nalli Ramanathan Uvaraj et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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