Patient name- Dinisha , 28/F, resident of Kozhikode
Contact number- 9745141318
A case of high grade listhesis type 6, iatrogenic, slip more than 60%, spine imbalance(+), pelvic imbalance(+), spino pelvic rythm impaired.
Case history – complains of low back ache, radiating to B/L LL
Patient is a known case of Grade 2 anterolisthesis L5 over S1 S/P Decompression and posterolateral grafting done on 21/8/10 -No h/o trauma
Case history
•Conscious and oriented
•Vitals stable
•Power 4/5 at L5, S1 distribution over (B/L) L/L
•Numbness (+) over left lower limb
•Stabilized with lumbar corset
CT DL SPINE
MRI LS spine with whole spine screening
MRI showing Grade 2 anterolisthesis L5 over S1 with pseudobulge indenting anterior thecal sac causing B/L lateral recess narrowing. No spinal canal narrowing. Spinal canal AP diameter is 12.5mm
Case solution
•Moss Miami fixation with L5 nerve root decompression done
•Open reduction done
•Peri operative period was uneventful
•No new deficits
Intra op
Post op
