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Spondylolisthesis of the thoracic spine. Case report.
J Neurosurg Spine 2006; 4(5):415-8JN

Abstract

The thoracic spine is stabilized in the anteroposterior direction by the rib cage and the facet joints. Spondylolisthesis of the thoracic spine is less common than that of the lumbar spine. The authors describe a rare case of thoracic spondylolisthesis in which the patient suffered back pain and myelopathy. The patient was a 44-year-old woman. Plain radiography revealed Grade I T11-12 spondylolisthesis. The pedicle-facet joint angle at T-11 was 118 degrees, greater than that of T-10 or T-12. Postmyelography computerized tomography scanning revealed posterior compression of the dural sac as well as enlargement of and degenerative changes in the facet joint at T-11. Magnetic resonance imaging showed anterior and posterior compression of the spinal cord at the level of the spondylolisthesis. To achieve posterior T10-12 decompression, the surgeons performed a laminectomy and posterolateral fusion in which a pedicle screw fixation system was placed. The patient's back pain disappeared immediately after the operation. The authors conclude that the enlargement of the pedicle-facet joint angle and the degenerative changes of the facet joint caused the thoracolumbar spondylolisthesis.

Authors+Show Affiliations

Department of Orthopedic Surgery, Akita University School of Medicine, Akita, Japan. yshimada@med.akita-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16703910

Citation

Shimada, Yoichi, et al. "Spondylolisthesis of the Thoracic Spine. Case Report." Journal of Neurosurgery. Spine, vol. 4, no. 5, 2006, pp. 415-8.
Shimada Y, Kasukawa Y, Miyakoshi N, et al. Spondylolisthesis of the thoracic spine. Case report. J Neurosurg Spine. 2006;4(5):415-8.
Shimada, Y., Kasukawa, Y., Miyakoshi, N., Hongo, M., Ando, S., & Itoi, E. (2006). Spondylolisthesis of the thoracic spine. Case report. Journal of Neurosurgery. Spine, 4(5), pp. 415-8.
Shimada Y, et al. Spondylolisthesis of the Thoracic Spine. Case Report. J Neurosurg Spine. 2006;4(5):415-8. PubMed PMID: 16703910.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spondylolisthesis of the thoracic spine. Case report. AU - Shimada,Yoichi, AU - Kasukawa,Yuji, AU - Miyakoshi,Naohisa, AU - Hongo,Michio, AU - Ando,Shigeru, AU - Itoi,Eiji, PY - 2006/5/18/pubmed PY - 2006/5/31/medline PY - 2006/5/18/entrez SP - 415 EP - 8 JF - Journal of neurosurgery. Spine JO - J Neurosurg Spine VL - 4 IS - 5 N2 - The thoracic spine is stabilized in the anteroposterior direction by the rib cage and the facet joints. Spondylolisthesis of the thoracic spine is less common than that of the lumbar spine. The authors describe a rare case of thoracic spondylolisthesis in which the patient suffered back pain and myelopathy. The patient was a 44-year-old woman. Plain radiography revealed Grade I T11-12 spondylolisthesis. The pedicle-facet joint angle at T-11 was 118 degrees, greater than that of T-10 or T-12. Postmyelography computerized tomography scanning revealed posterior compression of the dural sac as well as enlargement of and degenerative changes in the facet joint at T-11. Magnetic resonance imaging showed anterior and posterior compression of the spinal cord at the level of the spondylolisthesis. To achieve posterior T10-12 decompression, the surgeons performed a laminectomy and posterolateral fusion in which a pedicle screw fixation system was placed. The patient's back pain disappeared immediately after the operation. The authors conclude that the enlargement of the pedicle-facet joint angle and the degenerative changes of the facet joint caused the thoracolumbar spondylolisthesis. SN - 1547-5654 UR - https://www.unboundmedicine.com/medline/citation/16703910/Spondylolisthesis_of_the_thoracic_spine__Case_report_ L2 - https://thejns.org/doi/10.3171/spi.2006.4.5.415 DB - PRIME DP - Unbound Medicine ER -