SURGICAL MANAGEMENT OF SYMPTOMATIC ADULT LYTIC SPONDYLOPTOSIS BY MODIFIED/THREE STAGE GAINES PROCEDURE: CASE REPORT

Abstract

Spondyloptosis or complete anterior dislocation of the L5 vertebrae over S1 is a rare clinical condition. Generally, the surgical management of spondyloptosis includes either posterior long segment in-situ fusion (with total disregard for altered biomechanics) or restoration of lumbosacral kyphosis by reduction of spondyloptosis using multi-staged procedures. Reduction is possible in spondyloptosis only after sacral dome osteotomy or L5 Corpectomy with interbody fusion of L4 over S1 as described by Robert Gaines. We present our case of a manual laborer who was treated successfully by modified/Three stage Gaines procedure.