Among age-related alterations of the spine, the degenerative spondylolisthesis is the most common in individuals older than 50 years. This alteration is usually accompanied by disc space narrowing and degeneration.
The patient in the picture complained for back pain and neurogenic claudication with impairment in daily life activities.
At the time of presentation, standard radiographs showed degenerative spondylolisthesis of L2 and L3 with lumbar stenosis, shown by the MRI. Surgery was suggested in order to allow a lumbar decompression of the nerve roots and to restore stability in segments where it has been lost.
Single-position options for combined anterior and posterior fusion in the lumbar spine have been suggested to reduce the surgical time and improve the efficiency of the treatment.
Prone single-position extreme lateral interbody fusion (XLIF) with posterior percutaneous fixation represents a feasible and safe procedure. The patient underwent two level anterior and posterior fusion in single-position with indirect lumbar decompression and stabilization of the segments.
The patient was pain free without any complications after the treatment.
The follow-up radiographs and CT-scan demonstrate a good fusion with a proper lumbar lordosis.
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