{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T16:19:48Z","timestamp":1769530788415,"version":"3.49.0"},"reference-count":7,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nFew series report on the management of high-grade spondylolisthesis (HGS) in adolescents and young adults. This review highlights a series of six consecutive cases with developmental (dysplastic) HGS successfully managed with L3 or L4 to S1 transpedicular screw placement, rather than in situ<\/jats:italic>\/noninstrumented lumbosacral fusion.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nThe six patients with HGS, according to the Meyerding Grading, presented with low back pain and bilateral sciatica (2016\u20132020). Patients averaged 19.8 years of age and underwent posterior transpedicular L3 or L4-S1 screw fusions. They were all monitored for at least 6 postoperative months.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nNone of the six patients developed any major perioperative\/postoperative complications; only one patient had severe postoperative back pain that slowly improved over 3 months. All the patients were clinically improved postoperatively, uniformly demonstrated fusion on postoperative CT studies, and considered the operation worthwhile.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nPosterior transpedicular screw fixation of the lumbosacral spine is an efficient and safe technique for the treatment of L3 or L4 to L5-S1 HGS. It is a suitable instrumented technique for managing adult\/adolescent HGS and offers an alternative to the more typically performed in situ<\/jats:italic>\/noninstrumented L4-S1 procedures.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_676_2020","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T09:32:52Z","timestamp":1607074372000},"page":"416","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pedicular lumbosacral spine fusion for adult\/adolescent lumbar developmental high-grade spondylolisthesis"],"prefix":"10.25259","volume":"11","author":[{"given":"Mohamed Atef","family":"Elnokaly","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Helwan University, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed M.","family":"Adawi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Benha University, Benha, Al Qalubia, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed M.","family":"Nabeel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Benha University, Benha, Al Qalubia, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,12,4]]},"reference":[{"key":"10.25259\/SNI_676_2020\/ref-1","doi-asserted-by":"crossref","first-page":"E161","DOI":"10.1097\/00007632-200203150-00019","article-title":"Partial lumbosacral kyphosis reduction, decompression, and posterior lumbosacral transfixation in high-grade isthmic spondylolisthesis: Clinical and radiographic results in six patients","volume":"27","author":"Boachie-Adjei","year":"2002","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_676_2020\/ref-2","first-page":"1024","article-title":"Spine and spinal cord","volume-title":"Handbook of Neurosurgery","year":"2016","edition":"8th ed"},{"key":"10.25259\/SNI_676_2020\/ref-3","doi-asserted-by":"crossref","first-page":"523","DOI":"10.3171\/2014.1.SPINE12904","article-title":"High-grade spondylolisthesis treated using a modified Bohlman technique: Results among multiple surgeons","volume":"20","author":"Hart","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_676_2020\/ref-4","first-page":"4197","article-title":"Reduction of high-grade spondylolisthesis using a transvertebral surgical approach in a child. A case report and review of the literature","volume":"6","author":"Kotil","year":"2006","journal-title":"Turk Neurosurg"},{"key":"10.25259\/SNI_676_2020\/ref-5","doi-asserted-by":"crossref","first-page":"1916","DOI":"10.1097\/00007632-199409000-00010","article-title":"Treatment of L5-S1 spondyloptosis by staged L5 resection with reduction and fusion of L4 onto S1 (Gaines procedure)","volume":"19","author":"Lehmer","year":"1994","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_676_2020\/ref-6","first-page":"371","article-title":"Spondyloptosis","volume":"54","author":"Meyerding","year":"1932","journal-title":"Surg Gynecol Obstet"},{"key":"10.25259\/SNI_676_2020\/ref-7","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1097\/01241398-198909010-00007","article-title":"Nonoperative treatment for painful adolescent spondylolysis or spondylolisthesis","volume":"9","author":"Pizzutillo","year":"1989","journal-title":"J Pediatr Orthop"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/pedicular-lumbosacral-spine-fusion-for-adult-adolescent-lumbar-developmental-high-grade-spondylolisthesis\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/pedicular-lumbosacral-spine-fusion-for-adult-adolescent-lumbar-developmental-high-grade-spondylolisthesis\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T09:32:55Z","timestamp":1607074375000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/pedicular-lumbosacral-spine-fusion-for-adult-adolescent-lumbar-developmental-high-grade-spondylolisthesis\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,4]]},"references-count":7,"alternative-id":["10.25259\/SNI_676_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_676_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,4]]},"article-number":"416"}}