ABSTRACT
The following report describes the unique procedure currently emerging to treat spondyloptosis.
Here we describe the case of K.P. 17 year old female who had been diagnosed with spondylolisthesis. Her chief complaint was lower mechanical back pain, for which she underwent a lumbar-sacral fusion procedure in Port of Spain General Hospital in 2011. Upon follow up in clinic, she presented with severe axial / mechanical back pain which was affecting her lifestyle. This progressively became worse.
On further evaluation a spondyloptosis of L5/S1 was diagnosed and despite previous fusion, a Modified Bohlman`s procedure with non-vascularized fibula autograft after decompression of L5 /S1 motion segment, was performed. This procedure has never been reported in the Caribbean region. The occurrence, pathomechanics, operative technique and outcomes are discussed in detail.
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