Sponylolisthesis | Low Back Pain | Dr Basil Al Sharef | Complex Spine Surgery | Dubai

Combined anterior and posterior approach for L4–S1 reposition, decompression, and fusion:

✅ ALIF at L5–S1

✅ TLIF at L4–L5

In this case, TLIF alone at L5–S1 would be not sufficient due to severe erosion of the S1 endplate and significant collapse of the L5–S1 disc height. A combined approach was therefore chosen to achieve optimal restoration of alignment and stability.

The postoperative result demonstrates:

✔️ Restoration of segmental lordosis (L4–S1)

✔️ Complete reduction of the L5 vertebral slip

✔️ Stable correction of Meyerding Grade I L5–S1 spondylolisthesis

A great example of tailoring the surgical strategy to the patient’s anatomy to achieve the best possible outcome.

Dr Basil Al Sharef | Spondylolisthesis Correction Surgery | ALIF and TLIF Fusion Surgery