Multilevel Thoracolumbar Spondylolysis with Spondylolisthesis at L4 on L5
A 24-year-old male patient was initially evaluated for persistent back pain. The visual analogue scale (VAS) score was 7 points. Physical examination revealed a decreased range of lumbar spinal motion, which caused pain. Simple X-ray revealed Meyerding grade 1 spondylolisthesis at L4 on L5, with mil...
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Published in | Clinics in orthopedic surgery Vol. 7; no. 3; pp. 410 - 413 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Korea (South)
The Korean Orthopaedic Association
01.09.2015
대한정형외과학회 |
Subjects | |
Online Access | Get full text |
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Summary: | A 24-year-old male patient was initially evaluated for persistent back pain. The visual analogue scale (VAS) score was 7 points. Physical examination revealed a decreased range of lumbar spinal motion, which caused pain. Simple X-ray revealed Meyerding grade 1 spondylolisthesis at L4 on L5, with mild dome-shaped superior endplate and consecutive multilevel spondylolysis at T12-L5. Standing anteroposterior and lateral views of the entire spine revealed normal balance of sagittal and coronal alignment. A computed tomography scan revealed bilateral spondylolysis at T12-L4, left unilateral spondylolysis at L5, and spina bifida at L5 to sacral region. Magnetic resonance imaging revealed mild dural ectasia at the lumbar region. Due to the absence of any neurological symptoms, the patient was managed conservatively. He was rested a few weeks with corset brace and physiotherapy. After treatment, his back pain improved, VAS score changed from 7 to 2, and he was able to return to normal activity. |
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Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 G704-SER000002656.2015.7.3.022 |
ISSN: | 2005-291X 2005-4408 |
DOI: | 10.4055/cios.2015.7.3.410 |