Use of Rialto Sacroiliac Fusion Implant for Trans-Sacral Fixation (Bohlman Technique) for High Grade L5 Listhesis Treatment: A Series of Cases | Chapter 7 | Advanced Concepts in Medicine and Medical Research Vol. 11

The item begins with a brief diary of Sr. Henry Bohlman, a great orthopedist and person accompanying strong impact on up-to-date Medicine and Spine enucleation. Using the original Bohlamn technique accompanying small modifications (instead of fastener with long pin graft used Rialto insert and performing posterior fixation L4-S2) we considered surgically two young females with extreme grade L5 listhesis and a case of postoperative pseudarthrosis after lumbosacral obsession with success. The particularized, staged surgical technique is interpreted, also with writing of pitfalls and their avoidance.Patterns: The patients were followed up all the while 2 year and 9 months and 2 year and 7 months, the triennial patient´s follow up is shorter, cause is a recent case.Results: Two young females of 18 age old with isthmic listhesis L5 were endure fixation L4-S2 and trans-sacral, trans-dical fusion accompanying Rialto implant by Bohlman method with partial decline of listhesis. Both had resolution of the pain and has uphold a good clinical outcome at 1 age and 9 months and another one at 1 year and 7 months make inquiries. The third case, 79 years traditional male, was a postoperative pseudarthrosis L5-S1 solved accompanying the use of the same type of trans-sacral implant, guide S2 SAI screws.Conclusions: Circumferential mixture is a robust arthrodesis with a reduced risk of pseudarthrosis, fusion without decline is advised in patients accompanying a balanced pelvis, agreeable global having a sharp end or part balance, few neurological symptoms. Biased reduction may be realized during the fixation afterwards posterior bonny elements replacement of L5 vertebra. In-situ fixation can be improved with trans-sacral Rialto insert.

Author(s) Details:

Marcel Sincari,
Department of Neurosurgery, Centro Hospitalar, Tondela-Viseu, Portugal.

Eduardo Mendes,
Department of Orthopedy, Centro Hospitalar, Tondela-Viseu, Portugal.

Luciano Guerra,
Department of Orthopedy, Centro Hospitalar, Tondela-Viseu, Portugal.

Mark-Daniel Sincari,
Faculty of Medicine, University of Coimbra, Portugal.

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