IJOCP | Volume 2015| Issue – 2015| Article ID – 2015:37
Conference: Poona Orthopaedic Society Annual Conference POSAC-2015,      India [Click for Full details]  

Authors: Jaydeep Patil,  Sanjay Patil

Authors Affiliations:Department of Orthopaedics, Bharati Vidyapeeth, Pune

Address of correspondence: docjai.patil@gmail.com


Multi-level Lumbar Spondylolysis: A Case Report

INTRODUCTION:Lumbar spondylolysis is common at the fourth and fifth lumbar vertebrae.  Multiple level lumbar spondylolysis is a relatively rare finding and the incidence vary between 1.2% to 5.6%.

 MATERIALS AND METHOD: 45 year old female presented in OPD with complaints of low backache with radiating pain to left lower limb since 2 months.Pain not relieved on medication and rest. The SLR Test was positive on the left side and other examination was normal. Radiographs revealed grade 1 anterospondylolisthesis of L5 over S1 with L4 and L5 pars defect. CT scan revealed bilateral pars defects involving the L4/L5 levels .MRI revealed a left paracentral disc herniation at L5-S1. Patient was posted laminectomy with discectomy with posterior spinal fusion with interbody cage.

RESULT: The patient had no postoperative complications. She wore a thoracolumbosacral orthosis (TLSO) brace for 2 months following  surgery, she improved clinically.

 CONCLUSION: Spondylolytic defects involving multiple vertebral levels are very rare.The causes of multi-level spondylolysis remain uncertain.Consequently, surgical treatment is typically recommended for patients with multi-level spondylolysis.

How to Cite this Abstract
Patil J, Patil S. Multi-level Lumbar Spondylolysis:A Case Report International Journal of Conference Proceedings 2015;(2015):37