TY - JOUR
AR - SCR-2020-9-119
TI - Management of Occult Spondylolisthesis in a Case of Low Back Pain
AU - Md. Moshiur , Rahman
AU - S.I.M Khairun Nabi , Khan
AU - Robert Ahmed , Khan
AU - Luis Rafael , Moscote-Salazar
AU - Mohammad , Shahidullah
JO - Surgical Case Reports
PY - 2020
DA - Thu 24, Sep 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.09.19
UR - https://www.sciencerepository.org/management-of-occult-spondylolisthesis-in-a-case-of-low-back-pain_SCR-2020-9-119 
KW - Spondylolisthesis, vertebra, dysaesthesia, low back pain
AB - 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.