Md. Moshiur Rahman,S.I.M Khairun Nabi Khan,Robert Ahmed Khan,Luis Rafael Moscote-Salazar,Mohammad Shahidullah, Management of Occult Spondylolisthesis in a Case of Low Back Pain Surgical Case Reports 2020 2613-5965 http://dx.doi.org/10.31487/j.SCR.2020.09.19 https://www.sciencerepository.org/management-of-occult-spondylolisthesis-in-a-case-of-low-back-pain_SCR-2020-9-119 Abstract: 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.Keywords: Spondylolisthesis, vertebra, dysaesthesia, low back pain