Figure 4. Postoperative anteroposterior and lateral views showed a satisfactory position of instrumentation.

Figure 5. The flexion-extension views of 1-year follow-up showed good stability and excellent fusion.

4. Conclusion

We reported a case of three-level lumbar spondylolysis at L3-5 and single-level spondylolisthesis at L4, which is very rare. The result was favorable and proved the efficacy of combining PLF and PLIF technique for treatment for three-level lumbar spondylolysis and single-level spondylolisthesis.

Acknowledgements

Natural Science Foundation of Jiangsu Province (BK20130274) was received to support this work.

Cite this paper
Zhang, Y. , Liu, Y. , Chen, J. , Li, X. , Wang, H. , Wang, G. , Yang, H. and Jiang, W. (2019) Combining Posterolateral Lumbar Fusion and Posterior Lumber Interbody Fusion Surgery for Treating Three-Level Lumber Spondylolysis and Single-Level Spondylolisthesis: Case Report. Journal of Biosciences and Medicines, 7, 77-83. doi: 10.4236/jbm.2019.78006.
References

[1]   Fredrickson, B.E., Baker, D., McHolick, W.J., Yuan, H.A. and Lubicky, J.P. (1984) The Natural History of Spondylolysis and Spondylolisthesis. The Journal of Bone & Joint Surgery, 66, 699-707.
https://doi.org/10.2106/00004623-198466050-00008

[2]   Sakai, T., Sairyo, K., Suzue, N., Kosaka, H. and Yasui, N. (2010) Incidence and Etiology of Lumbar Spondylolysis: Review of the Literature. Journal of Orthopaedic Science, 15, 281-288.
https://doi.org/10.1007/s00776-010-1454-4

[3]   Stewart, T.D. (1953) The Age Incidence of Neural-Arch Defects in Alaskan Natives, Considered from the Standpoint of Etiology. The Journal of Bone & Joint Surgery, 35, 937-950.
https://doi.org/10.2106/00004623-195335040-00012

[4]   Al-Sebai, M.W. and Al-Khawashki, H. (1999) Spondyloptosis and Multiple-Level Spondy-lolysis. European Spine Journal, 8, 75-77.
https://doi.org/10.1007/s005860050130

[5]   Higashino, K., Sairyo, K., Katoh, S., Sakai, T., Kosaka, H. and Yasui, N. (2007) Minimally Invasive Technique for Direct Repair of the Pars Defects in Young Adults Using a Spinal Endoscope: A Technical Note. Minimally Invasive Neurosurgery, 50, 182-186.

[6]   Zhang, S., Ye, C., Lai, Q., et al. (2018) Double-Level Lumbar Spondylolysis and Spondylolisthesis: A Retrospective Study. Journal of Orthopaedic Surgery and Research, 13, 55.
https://doi.org/10.1186/s13018-018-0723-3

[7]   Liu, X., Wang, L., Yuan, S., et al. (2015) Multiple-Level Lumbar Spondylolysis and Spondylolisthesis. Journal of Neurosurgery Spine, 22, 283-287.
https://doi.org/10.3171/2014.10.SPINE14415

[8]   Wiltse, L.L. (1962) The Etiology of Spondylolisthesis. The Journal of Bone & Joint Surgery, 44, 539-560.
https://doi.org/10.2106/00004623-196244030-00011

[9]   Standaert, C.J. and Herring, S.A. (2007) Expert Opinion and Controversies in Sports and Musculoskeletal Medicine: The Diagnosis and Treatment of Spondylolysis in Adolescent Athletes. Archives of Physical Medicine and Rehabilitation, 88, 537-540.

[10]   Ogawa, H., Nishimoto, H., Hosoe, H., Suzuki, N., Kanamori, Y. and Shimizu, K. (2007) Clinical Outcome after Segmental Wire Fixation and Bone Grafting for Repair of the Defects in Multiple Level Lumbar Spondylolysis. Journal of Spinal Disorders & Techniques, 20, 521-525.
https://doi.org/10.1097/BSD.0b013e3180335c1f

[11]   Park, K.H., Ha, J.W., Kim, H.S., Moon, E.S., Moon, S.H., Lee, H.M., Kim, H.J. and Kim, J.Y. (2009) Multiple Levels of Lumbar Spondylolysis—A Case Report. Asian Spine Journal, 3, 35-38.
https://doi.org/10.4184/asj.2009.3.1.35

[12]   Debnath, U.K., Freeman, B.J., Grevitt, M.P., Sithole, J., Scammell, B.E. and Webb, J.K. (2007) Clinical Outcome of Symptomatic Unilateral Stress Injuries of the Lumbar Pars Interarticularis. Spine, 32, 995-1000.
https://doi.org/10.1097/01.brs.0000260978.10073.90

[13]   Menga, E.N., Jain, A., Kebaish, K.M., Zimmerman, S.L. and Sponseller, P.D. (2014) Anatomic Parameters: Direct Intralaminar Screw Repair of Spondylolysis. Spine, 39, E153-E158.
https://doi.org/10.1097/BRS.0000000000000118

[14]   Hioki, A., Miyamoto, K., Sadamasu, A., Nozawa, S., Ogawa, H., Fushimi, K., Hosoe, H. and Shimizu, K. (2012) Repair of Pars Defects by Segmental Transverse Wiring for Athletes with Symptomatic Spondylolysis: Relationship between Bony Union and Postoperative Symptoms. Spine, 37, 802-807.
https://doi.org/10.1097/BRS.0b013e318232303a

[15]   Lim, M.R., Yoon, S.C. and Green, D.W. (2004) Symptomatic Spondylolysis: Diagnosis and Treatment. Current Opinion in Pediatrics, 16, 37-46.
https://doi.org/10.1097/00008480-200402000-00008

[16]   Mutchnick, I.S., Clegg, T.E., Carreon, L.Y. and Puno, R.M. (2011) Motion Segment-Sparing Repair of Symptomatic Chronic Pars Defects. Journal of Neurosurgery Spine, 15, 159-163.
https://doi.org/10.3171/2011.4.SPINE10324

[17]   Voor, M.J., Mehta, S., Wang, M., Zhang, Y.M., Mahan, J. and Johnson, J.R. (1998) Biomechanical Evaluation of Posterior and Anterior Lumbar Interbody Fusion Techniques. Journal of Spinal Disorders, 11, 328-334.
https://doi.org/10.1097/00002517-199808000-00011

[18]   Christensen, F.B., Hansen, E.S., Eiskjaer, S.P., Høy, K., Helmig, P., Neumann, P., Niedermann, B. and Bünger, C.E. (2002) Circumferential Lumbar Spinal Fusion with Brantigan Cage versus Posterolateral Fusion with Titanium Cotrel-Dubousset Instrumentation: A Prospective, Randomized Clinical Study of 146 Patients. Spine, 27, 2674-2683.
https://doi.org/10.1097/00007632-200212010-00006

[19]   Wetzel, F.T., Brustein, M., Phillips, F.M. and Trott, S. (1999) Hardware Failure in an Unconstrained Lumbar Pedicle Screw System. A 2-Year Follow-Up Study. Spine, 24, 1138-1143.
https://doi.org/10.1097/00007632-199906010-00014

 
 
Top