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European Spine Journal

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01-12-2017 | Reviewer's Comment

Expert’s comment concerning Grand Rounds case entitled “Circumferential fusion for degenerative lumbar spondylolisthesis complicated by distal junctional grade 4 spondylolisthesis in the sub-acute post-operative setting” by Alexander A. Theologis et al. (Eur Spine J; 2017. doi:10.1007/s00586-017-4976-z)

Author: Marco Brayda-Bruno

Published in: European Spine Journal | Issue 12/2017

Excerpt

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This is a very interesting and well-written case report and review of specific literature [1]. It describes a iatrogenic bilateral L5 pars lysis with acute postoperative spondylolisthesis, occurred in a 59-year-old female patient: she had a history with several co-morbidities (obesity, insulin-dependent diabetes, hypertension, depression, and chronic pain) and was operated for degenerative L3–L4 and L4–L5 spondylolisthesis with spinal stenosis, performing an L3–L5 posterior circumferential fusion and decompressive laminectomy of L4, extended up and down to enhance the canal and lateral recess decompression. A couple of weeks after this first surgery, a severe iatrogenic grade 4 spondylolisthesis L5–S1 has occurred, requiring the second index revision surgery. …

Theologis AA, Jain D, Ames CP, Pekmezci M (2017) Circumferential fusion for degenerative lumbar spondylolisthesis complicated by distal junctional grade 4 spondylolisthesis in the sub-acute post-operative setting. Eur Spine J. doi:10.1007/s00586-017-4976-z

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Title: Expert’s comment concerning Grand Rounds case entitled “Circumferential fusion for degenerative lumbar spondylolisthesis complicated by distal junctional grade 4 spondylolisthesis in the sub-acute post-operative setting” by Alexander A. Theologis et al. (Eur Spine J; 2017. doi:10.1007/s00586-017-4976-z)
Author: Marco Brayda-Bruno
Publication date: 01-12-2017
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 12/2017
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-017-5057-z

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