J Korean Neurosurg Soc.  2005 Oct;38(4):320-322.

Isthmic Spondylolisthesis Associated with Foraminal Disc Herniation Treated by Anterior Lumbar Interbody Fusion

• Lee DY
• Lee SH
• Maeng DH
• Jang JS

Abstract

A 45-year-old man presented with lower back pain and pain in the right leg of 3years duration. A plain radiographic examination revealed grade I isthmic spondylolisthesis, with instability at L4-5. Computed tomography and magnetic resonance imaging demonstrated bilateral foraminal stenosis, with soft foraminal disc herniation on the right side at the L4-5 level. He underwent anterior lumbar interbody fusion(ALIF) with percutaneous posterior fixation(PF) at the L4-5 level. Without removing the posterior bony structures, removal of foraminal disc herniation and reduction of spondylolisthesis were successfully performed using ALIF with percutaneous PF. When there is no hard disc herniation or lateral recess stenosis, ALIF with percutaneous PF can be one of the treatment options for isthmic spondylolisthesis, even in the presence of foraminal disc herniation, as in our case.

Keyword

Anterior lumbar interbody fusion(ALIF); Isthmic spondylolisthesis; Foraminal disc herniation

MeSH Terms

Constriction, Pathologic
Humans
Leg
Low Back Pain
Magnetic Resonance Imaging
Middle Aged
Spondylolisthesis*