patient came to the clinic 23-October-2011
complaining of LBP for 2 years with bilateral
sciatica more the right down to toes both feet.
The patient performed MRI lumbar spine
15-June-2011 in Yemen showing spondylolisthesis
L4-5 with complete stenosis at this level.
examination: the patient is limping with
exaggerated scoliotic stance. There is weak
dorsi and planterflexion both feet -4/5.
patient was sent to new MRI and CT-scan
investigations with dynamic LSS X-ray which
confirmed the presence of II degree
spondylolisthesis and complete stenosis at this
Partial laminectomy L4 and L5. Foraminotomy both
L5 roots with more extension to the right side.
Discectomy L4-5 from the right. Traxis TILF PEEK
cage 9x9x21 mm with NovaBone putty 0.5 cc
inserted to the L4-5 disc space from the right.
Two monoaxial screws Zimmer 6.5x45 mm inserted
to the L5 body. Two polyaxial pedicle screws
5.5x45 mm inserted to L4 body. 50 mm rods were
bended slightly and used to fuse the L4 and L5
bodies with 5.5 62 mm length transverse
connector to bring more stability to the
construct with slight compression. Check for
instability or loosening. All stages of surgery
were under the control of C-arm.
closure of the wound. Smooth postoperative
recovery with improvement of the power of both