• Cheng Cheng, Kai Wang, Can Zhang, Hao Wu, and Feng-Zeng Jian.
• Department of Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, China; Department of Neurosurgery, Third Medical Centre, Chinese People's Liberation Army General Hospital, Beijing, China.
• World Neurosurg. 2019 Jul 1; 127: 222-226.

BackgroundDiagnosis and management of congenital anomalies of the spine can be a challenge because of their complex presentations. We present an uncommon case of congenital deformity of the spine with L4-L5 vertebral fusion, mimicking a single vertebra, and L3 spondylolisthesis treated by oblique lumbar interbody fusion (OLIF).Case DescriptionA 69-year-old woman presented with increasing lower back pain radiating to the left leg, with aggravation of symptoms for the past 6 months, causing difficulty in walking. She also complained of paresthesia along the L3-L5 dermatomes in both legs, with more prominence on the left side. Imaging revealed fusion deformity of the L4-L5 vertebrae, as well as degenerative spondylolisthesis at the L3-L4 level. After treatment with OLIF, the patient had an uneventful recovery period. Comparisons were made between the preoperative and 6-month follow-up visual analog scale and the Oswestry Disability Index scores. The patient showed significant improvement in the scores, as well as in her symptoms.ConclusionsOLIF is a promising technique that can be applied in the management of degenerative disk diseases and also for deformities that may be formidable to treat by adopting the traditional posterior approach.Copyright © 2019 Elsevier Inc. All rights reserved.

4 keywords...

hide…