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August 1975

Complete Spondylolisthesis in an Infant: Treatment With Decompression and Fusion

Author Affiliations

From the Division of Orthopedic Surgery, Children's Hospital of Philadelphia.

Am J Dis Child. 1975;129(8):967-969. doi:10.1001/archpedi.1975.02120450073018

• A grade 4 spondylolisthesis at the level of L-4 and L-5 was detected in a 3-year-old girl who had a spastic gait and focal sensory deficit. There was no history or objective evidence of substantial spinal trauma. A deformity over the lower part of the spine had been noted at 1 year of age and the radiological lesion was more extensive than that found in classical spondylolysis. Consequently, a diagnosis of congenital spondylolisthesis is most acceptable. Treatment via combined posterior and posterolateral fusion following anterior decompression has yielded gratifying results.

(Am J Dis Child 129:967-969, 1975)

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