16 year old female diagnosed with Isthmic Spondylolisthesis. The patient experience back pain and leg pain, and under went a lumber fusion.

1. Isthmic
Spondylolisthesis
Grade IV:
Treated with an
anterior and posterior
spinal fusion
Robert S Pashman, MD
Scoliosis and Spinal Deformity Surgery
www.eSpine.com

2. Grade IV Isthmic Spondylolisthesis
16 year old female
Documented progression of
Spondylolisthesis from 2002 to 2003
L5 weakness of left foot
Low back and leg pain

3. Slip Angle
Slip Angle
45o

4. Sagittal Rotation
Sagittal Rotation
17o

5. Sacral Inclination
50o
Sacral Inclination

6. Surgical Plan
• Laminectomy L5
• Bilateral foraminotomy L5-S1
• L5-S1 Microdisectomy
• Spondylolisthesis reduction
• Anterior interbody fusion at L4-S1
• Posterior fusion L4-S1

7. Surgical Treatment
ASF Subtotal Vertebrectomy and Reduction

8. Post Surgery
The patient’s symptoms were resolved following surgery.