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Updated: Sep 6, 2025

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

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An Alternative Operative Approach to Lumbar Spondylolisthesis.

Matthew Putty¹, Gina Guglielmi², Hamad Farhat¹

¹Neurosurgery, Advocate Christ Medical Center, Oak Lawn, USA.

|June 27, 2022

Summary

This summary is machine-generated.

An anterior L5-S1 transvertebral cage offers a solution for treating high-grade lumbosacral spondylolisthesis and high sacral slope, potentially alleviating axial back pain.

Keywords:

anterior lumbar anterior lumbar spine surgery high grade l5-s1 spondylolisthesis lumbar-fusion spondylolisthesis

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Area of Science:

Spine surgery
Orthopedic surgery
Degenerative spine disease

Background:

Lumbosacral spondylolisthesis is common, with high-grade slips being rare.
Circumferential constructs are standard for L5-S1 instability due to shear forces.
Traditional anterior approaches can be challenging with severe slips or high sacral slopes.

Observation:

This case series details three patients with axial back pain.
All patients had high-grade spondylolisthesis or high sacral slope.
Treatment involved an anterior L5-S1 transvertebral cage.

Findings:

The anterior L5-S1 transvertebral cage technique was applied to patients with grade II spondylolisthesis and high sacral slope.
This approach may overcome limitations of traditional anterior methods.
The cage aims to stabilize the L5-S1 segment.

Implications:

The L5-S1 transvertebral cage may effectively prevent further slippage (listhesis).
This technique shows potential for achieving spinal fusion.
It may provide significant relief from axial back pain in selected patients.