International Clinical Neuroscience Journal

Vol. 9 (2022)

Spondylolysis-induced Multilevel Lumbar Spondylolisthesis; Challenges in Lumbar Spine Surgery

International Clinical Neuroscience Journal, Vol. 9 (2022), 10 January 2022 , Page e12

Abstract

Lumbar spondylolysis and multilevel lumbar spondylolysis account for 4.4-5.8% and 0.3% of the general population, and multilevel lumbar spondylolysis resulting in spondylolisthesis is even rarer. Herein, we report two cases of three-level lumbar spondylolisthesis because of spondylolysis: A 49-year-old woman was admitted to the hospital for dull lower back pain over the past 8 months, with exacerbating symptoms when standing and walking. Spasticity at lumbar region and radiculopathy at S1 nerve root was found on examination and a 63-year-old man was admitted to the hospital because of numbness and perianal sensory disturbances with difficulty urinating 2 weeks ago, the symptoms gradually increased to the time of examination. Both patients were diagnosed with multilevel lumbar spondylolisthesis because of spondylolysis and were indicated for posterior lumbar interbody fusion (PLIF). After surgery, both patients recovered well without any significant complications. The improved treatment results suggest the application of PLIF technique to treat spondylolysis-induced multilevel lumbar spondylolisthesis.

Keywords:
  • Multilevel lumbar spondylolisthesis; Low back pain; Nerve root pain; Spondylolysis; Posterior lumbar interbody fusion (PLIF).

How to Cite

1.
Dinh TPH, Duong NTV, Le TH, Tran TMD, Pham DD, Nguyen VL, Nguyen TM. Spondylolysis-induced Multilevel Lumbar Spondylolisthesis; Challenges in Lumbar Spine Surgery. Int Clin Neurosci J [Internet]. 2022 Apr. 30 [cited 2024 Apr. 16];9:e12. Available from: https://journals.sbmu.ac.ir/neuroscience/article/view/37131

References

1. Ganju A. Isthmic spondylolisthesis. Neurosurgical focus. 2002;13(1):E1. Epub 2005/05/27. doi: 10.3171/foc.2002.13.1.2. PubMed PMID: 15916408.
2. Sakai T, Sairyo K, Suzue N, Kosaka H, Yasui N. Incidence and etiology of lumbar spondylolysis: review of the literature. Journal of Orthopaedic Science. 2010;15(3):281-8. doi: 10.1007/s00776-010-1454-4.
3. 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. Journal of chiropractic medicine. 2009;8(3):125-30. Epub 2009/08/26. doi: 10.1016/j.jcm.2009.04.003. PubMed PMID: 19703668; PubMed Central PMCID: PMCPMC2732249.
4. Wong LC. Rehabilitation of a patient with a rare multi-level isthmic spondylolisthesis: a case report. J Can Chiropr Assoc. 2004;48(2):142-51. PubMed PMID: 17549226.
5. Wiltse LL, Newman PH, Macnab I. Classification of spondylolisis and spondylolisthesis. Clinical orthopaedics and related research. 1976(117):23-9. Epub 1976/06/01. PubMed PMID: 1277669.
6. Higashino K, Sairyo K, Katoh S, Sakai T, Kosaka H, Yasui N. Minimally Invasive Technique for Direct Repair of the Pars Defects in Young Adults using a Spinal Endoscope: A Technical Note. Minim Invasive Neurosurg. 2007;50(03):186-90.
7. Zhang Y, Liu Y, Chen J, Li X, Wang H, Wang G, et al. Combining Posterolateral Lumbar Fusion and Posterior Lumber Interbody Fusion Surgery for Treating Three-Level Lumber Spondylolysis and Single-Level Spondylolisthesis: Case Report. Journal of Biosciences and Medicines. 2019;Vol.07No.08:7. doi: 10.4236/jbm.2019.78006.
8. Wiltse LL. The Etiology of Spondylolisthesis. JBJS. 1962;44(3):539-60. PubMed PMID: 00004623-196244030-00011.
9. Gardner A, Gardner E, Morley T. Cauda equina syndrome: a review of the current clinical and medico-legal position. Eur Spine J. 2011;20(5):690-7. Epub 2010/12/31. doi: 10.1007/s00586-010-1668-3. PubMed PMID: 21193933.
10. Morimoto M, Sakai T, Goto T, Sugiura K, Manabe H, Tezuka F, et al. Is the Scotty Dog Sign Adequate for Diagnosis of Fractures in Pediatric Patients with Lumbar Spondylolysis? Spine Surg Relat Res. 2018;3(1):49-53. doi: 10.22603/ssrr.2017-0099. PubMed PMID: 31435551.
11. Smith JA, Hu SS. Management of spondylolysis and spondylolisthesis in the pediatric and adolescent population. The Orthopedic clinics of North America. 1999;30(3):487-99, ix. Epub 1999/07/07. doi: 10.1016/s0030-5898(05)70101-2. PubMed PMID: 10393770.
12. Al-Khawashki H, Wasef Al-Sebai M. Combined dysplastic and isthmic spondylolisthesis: possible etiology. Spine. 2001;26(23):E542-6. Epub 2001/11/29. doi: 10.1097/00007632-200112010-00021. PubMed PMID: 11725254.
  • Abstract Viewed: 190 times
  • PDF Downloaded: 161 times

Download Statastics