AJNN
Academic Journal of Neuropsychiatry and Neuropsychology

Academic Journal of Neuropsychiatry and Neuropsychology (formerly known as the Academic Journal of Neurology and Neurosurgery, e-ISSN:3023-6517), deals with neurology, neurosurgery, psychiatry and clinical psychology accepts articles on these topics. Academic Journal of Neuropsychiatry and Neuropsychology publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

eISSN: 3108-8171
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Case Report
A case of consecutive four-level lumbar spondylolysis and spondylolisthesis
Abstract
This rare and unusual case is about a 54-year-old female, who has pars fractures involving consecutive four-level bilateral spondylolysis and spondylolisthesis. Due to the increasing intensity with lumbar instability, the patient had severe low back pain. For diagnosis, dynamic X-ray, magnetic resonance, 3D tomography were performed, and bilateral L2-3-4-5 pars fracture and L3-4 spondylolisthesis were observed. This case was treated surgically byspinal canal decompression at L3-4, L4-5 and L5-S1, posterior lumbar interbody fusion at L4–5 and L5–S1, and pedicle screw fixation at L2–S1. The lower back pain disappeared after the surgery.

Keywords : Spondylolysis, spondylolisthesis, low back pain

Download Article


1. Ganju A. Isthmic spondylolisthesis. <em>FOC</em>. 2002;13(1):1-6. doi:10.3171/foc. 2002.13.1.2
2. Sakai T, Sairyo K, Takao S, Nishitani H, Yasui N. Incidence of lumbar spondylolysis in the general population in japan based on multidetector computed tomography scans from two thousand subjects. <em>Spine</em>. 2009; 34(21):2346-2350. doi:10.1097/BRS.0b013e3181b4abbe
3. Wiltse LL, Widell EH Jr, Jackson DW. Fatigue fracture: the basic lesion is inthmic spondylolisthesis. <em>J Bone Joint Surg Am</em>. 1975;57(1):17-22.
4. Dunn AS, Baylis S, Ryan D. Chiropractic management of mechanical low back pain secondary to multiple-level lumbar spondylolysis with spondylolisthesis in a United States Marine Corps veteran: a case report. <em>J Chiropractic Med</em>. 2009;8(3):125-130. doi:10.1016/j.jcm.2009.04.003
5. Ogawa H, Nishimoto H, Hosoe H, Suzuki N, Kanamori Y, Shimizu K. Clinical outcome after segmental wire fixation and bone grafting for repair of the defects in multiple level lumbar spondylolysis.<em>J Spinal Disord Tech</em>. 2007;20(7):521-525.doi:10.1097/BSD.0b013e3180335c1f
6. Al-Khawashki H, Wasef Al-Sebai M. Combined dysplastic and isthmic spondylolisthesis: possible etiology. <em>Spine</em>. 2001;26(23):542-546. doi:10.1097/00007632-200112010-00021
7. Ravichandran G. Upper lumbar spondylolysis. <em>Int Orthop.</em> 1981;5(1):31-35.<em> </em>doi:10.1007/BF00286096
8. Friberg S. Studies on spondylolisthesis. <em>Acta Chir Scand</em>. 1939;55(1-140).
9. Wıllıs Ta. The Separate neural arch. <em>JBJS</em>. 1931;13(4):709-721. https://journals.lww.com/jbjsjournal/fulltext/1931/13040/the_separate_neural_arch.5.aspx
10. Wiltse LL. Etiology of spondylolisthesis. <em>Clin Orthop</em>. 1957;10:48-60.
11. Papanicolaou N, Wilkinson R, Emans J, Treves S, Micheli L. Bone scintigraphy and radiography in young athletes with low back pain. <em>Am J Roentgenol</em>. 1985;145(5):1039-1044. doi:10.2214/ajr.145.5.1039
12. Harvey CJ, Richenberg JL, Saifuddin A, Wolman RL. Pictorial review: the radiological investigation of lumbar spondylolysis. <em>Clinl Radiol</em>. 1998; 53(10):723-728. doi:10.1016/S0009-9260(98)80313-9
13. Chang JH, Lee CH, Wu SS, Lin LC. Management of multiple level spondylolysis of the lumbar spine in young males: a report of six cases. J Formos Med Assoc. 2001;100(7):497-502.
Article available in :
Volume 1, Issue 4, 2024
Page : 83-85
https://doi.org/10.51271/AJNN-0020
Article Information
Received : 17 Eki 2024
Accepted : 28 Eki 2024
Published : 29 Eki 2024
Corresponding Author :

Sevgi Aslı Doğan: Department of NeuroSurgery, Faculty of Medicine, Sakarya University, Sakarya, Turkiye

[email protected]
Citation : Kaya M, Doğan SA, Kaçıra T. A case of consecutive four-level lumbar spondylolysis and spondylolisthesis. Acad J Neurol Neurosurg. 2024;1(4):83-85.

Read: 166
Download : 778
Cited: 0
_Footer