Chronic Back Pain from Four-Level Lumbar Spondylolysis with Associated Spondylolisthesis: Case Report and Review of the LiteratureRobert Molinari W*, Ryan McAssey RN, Andrew Molinari
Department of Orthopaedic Surgery and Rehabilitation, University of Rochester Medical Center, 601 Elmwood Ave, Box 665, Rochester, NY 14642, USA
- Corresponding Author:
- Robert Molinari W
Department of Orthopaedic Surgery and Rehabilitation
University of Rochester Medical Center
601 Elmwood Ave, Box 665, Rochester
NY 14642, USA
E-mail: [email protected]
Received Date: May 13, 2015; Accepted Date: May 20 2015; Published Date: May 26, 2015
Citation: Robert Molinari W, Ryan McAssey RN,Molinari A (2015) Chronic Back Pain from Four-Level Lumbar Spondylolysis with Associated Spondylolisthesis: Case Report and Review of the Literature. Int J Neurorehabilitation 2:1000165. doi:10.4172/2376-0281.1000165
Copyright: © 2015 Robert MW, et al. 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.
Summary There is an abundance of published literature discussing the treatment of single-level lumbar
spondylolysis and spondylolisthesis. However, the treatment of patients with chronic back pain and multiple levels of combined lumbar spondylolysis and spondylolisthesis are not well-described in the existing literature.
Introduction The purpose of this case report is to review the literature and describe the successful treatment of a patient who had chronic back pain and multiple levels of lumbar spondylolysis with associated spondylolisthesis.
Methods A 32 year old male soldier had 4 level lumbar spondylolysis and L4-5 spondylolisthesis. He had chronic back pain that was refractory to conservative measures over a period of 3 years. He was treated surgically with single level lumbar fusion at the level of L4-5 spondylolisthesis. The other levels of lumbar spondylolysis were not stabilized. The patient demonstrated an excellent functional outcome at 2 years postop and was able to return to unrestricted military duty. Radiographs at 2-year follow-up showed solid L4-5 fusion with no evidence of spondylolisthesis at any other lumbar level.
Conclusion Single-level lumbar fusion may be an appropriate treatment option for patients with chronic low back pain and multiple levels of spondylolysis. Functional outcome was excellent without evidence of instability at 2 year follow-up.
Significance This case report highlights the effectiveness of single-level lumbar fusion in patients who have multiple levels of preexisting spondylolysis. Further study is recommended.