J Korean Orthop Assoc.  1968 Feb;3(1):11-15. 10.4055/jkoa.1968.3.1.11.

Intertransverse Fusion in Spondylolisthesis: Report of a Case

• Kang SY
• Lee KR
• Chung WK
• Lee DY

• KMID: 2464772
• DOI: http://doi.org/10.4055/jkoa.1968.3.1.11

Abstract

There have been described a number of techniques and their combinations in the treatment of spondlolisthesis. The most widely used of this is excision of the posterior element combined by posterior fusion with a H-graft. However some advise decompression alone, while others recommend fusion without decompression. Anterior interbody fusion and posterolateral fusion have also been reported. Recently Rombold described intertransverse fusion combined with standard posterior fusion. The rationale of this procedure is best on the fact that a posterior fusion above and below the affected vetebra after the decompression stablized the body of the affected vetebra only indirectly, and stabilization of the affected vetebra to the one below come be achieved by fusion of the transverse processes which are anterior to the isthmus defect. The authors experience a case of spondylolisthesis of the 4th Lumbar vetebra associated with a cystic mass both subcutaneous and intraspinal connected by a defect in the lamina of the 5th Lumbar vetebra. They treated this case by laminectomy of the 5th Lumbar vetebra and excision of the posterior element of the 4th Lumbar vetebra, excision of the cystic mass and H-graft between L3 and Sl, inclusive, and reinforced this fusion with bilateral intertransverse fusion between 4th and 3th Lumbar vetebrae.

MeSH Terms

Decompression
Laminectomy
Spondylolisthesis*

Figure

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  Fig. 1. Lateral view

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  Fig. 2. Right oblique view

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  Fig. 3. Defect in the Left lamina of the 5th Lumbar Vetebra

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  Fig. 4. Inetracenal and extradural cystic mass

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  Fig. 5. Past operative X-ray findings

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  Fig. 6. Classical intertransvurse fusion

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  Fig. 7. Operative method in this case

Reference

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