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A modified Gaines procedure for spondyloptosis.

K Kalra1, S Kohli, S Dhar

  • 1New York University Hospital for Joint Diseases, 301 East 17th Street, New York, New York 10003, USA. drkkalra@gmail.com

The Journal of Bone and Joint Surgery. British Volume
|November 2, 2010
PubMed
Summary

This study details a modified Gaines procedure for spondyloptosis, involving anterior L5 vertebral body excision and posterior fusion. This surgical technique aims to stabilize the spine in severe cases.

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Area of Science:

  • Spine surgery
  • Orthopedic surgery
  • Neurosurgery

Background:

  • Spondyloptosis is a severe spinal condition characterized by vertebral displacement.
  • Current surgical management options for spondyloptosis can be complex and carry significant risks.
  • The Gaines procedure is a recognized approach for treating spondyloptosis.

Observation:

  • This case report illustrates a novel modification of the Gaines procedure.
  • The modification involves a two-stage surgical approach: anterior excision and posterior fusion.
  • Specifically, the inferior half of the L5 vertebral body was excised anteriorly.

Findings:

  • The surgical management included posterior reduction and fusion in conjunction with the anterior excision.
  • This combined approach facilitated stable fixation and anatomical realignment.

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  • The modified technique offers a viable surgical option for complex spondyloptosis.

    • Implications:

    • This modified Gaines procedure may offer improved outcomes for patients with spondyloptosis.
    • Further research is warranted to evaluate the long-term efficacy and safety of this technique.
    • This approach could enhance the surgical armamentarium for spinal instability.