The L5 Vertebrectomy Approach for the Treatment of Spondyloptosis with Reduction of L4 onto S1: Case Report

J Med Assoc Thai 2017; 100 (6):711

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Case ReportOpen Access

The L5 Vertebrectomy Approach for the Treatment of Spondyloptosis with Reduction of L4 onto S1: Case Report

Pruttikul P , Visetchaisee N , Kunakornsawat S

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Background: Treatment of spondyloptosis is challenging. Dr. Gaines first developed and reported the L5 vertebrectomy approach for spondyloptosis with satisfactory long-term outcomes. This procedure has been rarely performed in the new era.

Objective: To report a rare and complex procedure L5 vertebrectomy (Gaines procedure, which now is a rare procedure and has been reported only by Dr. Gaines) for the treatment spondyloptosis.

Case Report: This study is case report and review of literature. We performed L5 vertebrectomy for the treatment of spondyloptosis and the results of the procedures was good.

Conclusion: Surgical treatment of spondyloptosis is difficult and complex. The L5 vertebrectomy, a rare and complex procedure, remains a predictable option, with excellent fusion rates and improved clinical alignment.

Keywords: Spondyloptosis, L5 vertebrectomy

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