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Surgical management of high-grade lumbar spondylolisthesis associated with Hajdu-Cheney syndrome: illustrative case by Davaine J. Ndongo Sonfack; David Bergeron; Zhi Wang; Ghassan Boubez; Daniel Shedid; Sung-Joo Yuh is a Medicine article available to read on EtoBox.
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## BACKGROUND Hajdu-Cheney syndrome (HCS) is a rare connective tissue disorder characterized by severe bone demineralization. In the spine, it is associated with the early onset of severe osteoporosis and can cause spondylolisthesis. Spinal instrumentation in the setting of severe osteoporosis is challenging because of poor resistance of vertebrae to biomechanical stress. ## OBSERVATIONS A 59-year-old woman with known idiopathic HCS presented with a grade 4 L5-S1 spondylolisthesis and right L5 pedicle fracture associated with a left L5 pars fracture, causing a progressive L5 radiculopathy that was worse on the left side than the right side and bilateral foot drop. The authors performed decompressive lumbar surgery, which included a complete L5 laminectomy and resection of the left L5 pedicle. This was followed by multilevel lumbosacral instrumentation using cement-augmented fenestrated pedicle screws as well as transdiscal sacral screws and bilateral alar-iliac fixation. Postoperatively, the radicular pain resolved, and the left foot drop partially recovered. ## LESSONS Stabilization of high-grade spondylolisthesis in the setting of bone demineralization disorders is challenging. T
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- Author
- Davaine J. Ndongo Sonfack; David Bergeron; Zhi Wang; Ghassan Boubez; Daniel Shedid; Sung-Joo Yuh
- Publisher
- Journal of Neurosurgery Publishing Group (JNSPG)
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)