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Bilateral C6 spondylolysis with spondylolisthesis in 3 adolescent siblings
Indranil V Kushare1, Dino Colo, Muayad Kadhim
1Division of Orthopaedic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA.
Background:
Cervical spondylolysis with spondylolisthesis is a rare condition in the pediatric population. The nature of this condition and clinical presentation are important to provide appropriate management.
Methods:
This is a case report of 3 adolescent siblings who had C6 cervical spondylolysis with spondylolisthesis.
Results:
Two cases were diagnosed insidiously with absence of neurological deficits and no instability on imaging and were treated conservatively. One case had a traumatic presentation associated with instability on imaging and was managed with cervical fusion and instrumentation. All 3 patients were doing well on a follow-up of >2 years.
Conclusions:
These cases suggest that cervical spondylolysis could be familial. The treatment was offered based on clinical presentation and presence of instability on radiographic studies.
Level Of Evidence:
Level IV.
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