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Natural Correction and Adaptation of a Severely Deformed Sacral Dome in an Adolescent with Isthmic Spondylolisthesis

A Case Report

Yamashita, Kazuta, MD1,a; Higashino, Kosaku, MD, PhD1,b; Sakai, Toshinori, MD, PhD1,c; Takata, Yoichiro, MD, PhD1,d; Nagamachi, Akihiro, MD, PhD1,e; Sairyo, Koichi, MD, PhD1,f

doi: 10.2106/JBJS.CC.16.00117
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Case: A spinal deformity with wedging of L5 and rounding of the surface of the sacral dome is very common in pediatric patients with spondylolisthesis at the L5 vertebral level, and it has been well documented that severe spondylolisthesis is a good indication for spinal arthrodesis. We report the natural correction and adaptation of a severely deformed sacral dome with slippage (40.8%) in a pediatric patient with nonoperative treatment.

Conclusion: Vertebral deformity in children can be reversible. Orthopaedic surgeons should be aware that pediatric patients with a severe deformity of the sacral dome and vertebral slippage can be managed nonoperatively.

1Department of Orthopedics, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan

aE-mail address for K. Yamashita: kazutayamasita0311@hotmail.com

bE-mail address for K. Higashino: higashino@tokushima-u.ac.jp

cE-mail address for T. Sakai: norinori@tokushima-u.ac.jp

dE-mail address for Y. Takata: yoichiro76@tokushima-u.ac.jp

eE-mail address for A. Nagamachi: nagamachi2016@tokushima-u.ac.jp

fE-mail address for K. Sairyo: sairyokun@hotmail.com

Copyright © 2017 by The Journal of Bone and Joint Surgery, Incorporated
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