Management of Occult Spondylolisthesis in a Case of Low Back Pain

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Author Info

Md. Moshiur Rahman S.I.M Khairun Nabi Khan Robert Ahmed Khan Luis Rafael Moscote-Salazar Mohammad Shahidullah

Corresponding Author

Md. Moshiur Rahman
Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh

A B S T R A C T

Spondylolisthesis is a condition of the spine that causes lower back pain. It is a vertebra slippage that occurs at the base of the spine, in most instances. We report a case of occult spondylolisthesis of a patient with grade 1 spondylolisthesis (L4 over L5). We presented the radiologic finding, diagnosis, and treatment here. A 45-year-old female was presented with the complaints of low back pain with sciatica for 4 years. The radiologic finding showed that she had dysaesthesia on both L5 dermatome and MRI of LS Spine revealed prolapsed disc at L4/5. The patient underwent decompression, stabilization via pedicle screw at L4 and L5 with fusion at L4/5 and after constant follow-ups, she was symptom-free with a full range of motion of the spine. Posterior fusion with instrumentation of the pedicle screw is commonly considered the gold standard method of lumbar spinal fusion. Non-surgical treatment is effective in relieving low back pain of the patient in most cases however, symptomatic patients need to be treated with the surgical method.

Article Info

Article Type

Case Report

Publication history

Received: Mon 31, Aug 2020
Accepted: Thu 10, Sep 2020
Published: Thu 24, Sep 2020

Copyright

© 2023 Md. Moshiur Rahman. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.09.19