Grade 4 spondylolisthesis of the L5 vertebra associated with dural ectasia in neurofibromatosis

H. N. Modi, S. Srinivasalu, Seung-Woo Suh, J. H. Yang

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Spondylolisthesis associated with neurofibromatosis is rare, and only 12 cases have been reported so far. However, only one report of grade 4 spondylolisthesis with neurofibromatosis has been reported in the literature. A 15-year-old boy with neurofibromatosis was admitted for back pain and neurological claudication. Radiograph showed grade 4 spondylolisthesis of the L5 vertebra with scalloping of the L4-L5 vertebrae. L4-L5 laminectomy, reduction, L3-S1 posterior instrumentation and fusion were performed. The reduction of the spondylisthesis was done entirely from the posterior approach using pedicle screws. Radiography at four months showed a broken S1 screw with a loss of reduction. The patient was re-operated on, to provide additional stability with pelvic fixation. He was pain-free with a good fusion at the two-year follow-up. Adequate posterior stabilisation with fusion gives good results in grade 4 spondylolisthesis associated with neurofibromatosis and dural ectasia.

Original languageEnglish
JournalSingapore Medical Journal
Volume50
Issue number8
Publication statusPublished - 2009 Aug 1

Fingerprint

Spondylolisthesis
Pathologic Dilatations
Neurofibromatoses
Spine
Laminectomy
Back Pain
Radiography

Keywords

  • Dural ectasia
  • Grade 4 spondylolisthesis
  • Neurofibromatosis
  • Spondylolisthesis
  • Vertebral scalloping

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Grade 4 spondylolisthesis of the L5 vertebra associated with dural ectasia in neurofibromatosis. / Modi, H. N.; Srinivasalu, S.; Suh, Seung-Woo; Yang, J. H.

In: Singapore Medical Journal, Vol. 50, No. 8, 01.08.2009.

Research output: Contribution to journalArticle

@article{91938c72aaba45c590d17e972b061864,
title = "Grade 4 spondylolisthesis of the L5 vertebra associated with dural ectasia in neurofibromatosis",
abstract = "Spondylolisthesis associated with neurofibromatosis is rare, and only 12 cases have been reported so far. However, only one report of grade 4 spondylolisthesis with neurofibromatosis has been reported in the literature. A 15-year-old boy with neurofibromatosis was admitted for back pain and neurological claudication. Radiograph showed grade 4 spondylolisthesis of the L5 vertebra with scalloping of the L4-L5 vertebrae. L4-L5 laminectomy, reduction, L3-S1 posterior instrumentation and fusion were performed. The reduction of the spondylisthesis was done entirely from the posterior approach using pedicle screws. Radiography at four months showed a broken S1 screw with a loss of reduction. The patient was re-operated on, to provide additional stability with pelvic fixation. He was pain-free with a good fusion at the two-year follow-up. Adequate posterior stabilisation with fusion gives good results in grade 4 spondylolisthesis associated with neurofibromatosis and dural ectasia.",
keywords = "Dural ectasia, Grade 4 spondylolisthesis, Neurofibromatosis, Spondylolisthesis, Vertebral scalloping",
author = "Modi, {H. N.} and S. Srinivasalu and Seung-Woo Suh and Yang, {J. H.}",
year = "2009",
month = "8",
day = "1",
language = "English",
volume = "50",
journal = "Singapore Medical Journal",
issn = "0037-5675",
publisher = "Singapore Medical Association",
number = "8",

}

TY - JOUR

T1 - Grade 4 spondylolisthesis of the L5 vertebra associated with dural ectasia in neurofibromatosis

AU - Modi, H. N.

AU - Srinivasalu, S.

AU - Suh, Seung-Woo

AU - Yang, J. H.

PY - 2009/8/1

Y1 - 2009/8/1

N2 - Spondylolisthesis associated with neurofibromatosis is rare, and only 12 cases have been reported so far. However, only one report of grade 4 spondylolisthesis with neurofibromatosis has been reported in the literature. A 15-year-old boy with neurofibromatosis was admitted for back pain and neurological claudication. Radiograph showed grade 4 spondylolisthesis of the L5 vertebra with scalloping of the L4-L5 vertebrae. L4-L5 laminectomy, reduction, L3-S1 posterior instrumentation and fusion were performed. The reduction of the spondylisthesis was done entirely from the posterior approach using pedicle screws. Radiography at four months showed a broken S1 screw with a loss of reduction. The patient was re-operated on, to provide additional stability with pelvic fixation. He was pain-free with a good fusion at the two-year follow-up. Adequate posterior stabilisation with fusion gives good results in grade 4 spondylolisthesis associated with neurofibromatosis and dural ectasia.

AB - Spondylolisthesis associated with neurofibromatosis is rare, and only 12 cases have been reported so far. However, only one report of grade 4 spondylolisthesis with neurofibromatosis has been reported in the literature. A 15-year-old boy with neurofibromatosis was admitted for back pain and neurological claudication. Radiograph showed grade 4 spondylolisthesis of the L5 vertebra with scalloping of the L4-L5 vertebrae. L4-L5 laminectomy, reduction, L3-S1 posterior instrumentation and fusion were performed. The reduction of the spondylisthesis was done entirely from the posterior approach using pedicle screws. Radiography at four months showed a broken S1 screw with a loss of reduction. The patient was re-operated on, to provide additional stability with pelvic fixation. He was pain-free with a good fusion at the two-year follow-up. Adequate posterior stabilisation with fusion gives good results in grade 4 spondylolisthesis associated with neurofibromatosis and dural ectasia.

KW - Dural ectasia

KW - Grade 4 spondylolisthesis

KW - Neurofibromatosis

KW - Spondylolisthesis

KW - Vertebral scalloping

UR - http://www.scopus.com/inward/record.url?scp=70349294440&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70349294440&partnerID=8YFLogxK

M3 - Article

VL - 50

JO - Singapore Medical Journal

JF - Singapore Medical Journal

SN - 0037-5675

IS - 8

ER -