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Bilateral spondylolysis of inferior articular processes of the fourth lumbar vertebra: a case report

Lumbar spondylolysis, a well known cause of low back pain, usually affects the pars interarticularis of a lower lumbar vertebra and rarely involves the articular processes. We report a rare case of bilateral spondylolysis of inferior articular processes of L4 vertebra that caused spinal canal stenosis with a significant segmental instability at L4/5 and scoliosis. A 31-year-old male who had suffered from low back pain since he was a teenager presented with numbness of the right lower leg and scoliosis. Plain X-rays revealed bilateral spondylolysis of inferior articular processes of L4, anterolisthesis of the L4 vertebral body, and right lateral wedging of the L4/5 disc with compensatory scoliosis in the cephalad portion of the spine. MR images revealed spinal canal stenosis at the L4/5 disc level. Posterior lumbar interbody fusion of the L4/5 was performed, and his symptoms were relieved

Keywords : Adult,Affect,Back,Back Pain,diagnostic imaging,Humans,Japan,Leg,Low Back Pain,Lumbar Vertebrae,Male,Pain,pathology,Radiography,Scoliosis,Spinal Canal,Spine,Spondylolysis,surgery,, Spondylolysis,Inferior,Articular,Processes, sports massage for neck pain

Date of Publication : 2012 Mar

Authors : Koakutsu T;Morozumi N;Hoshikawa T;Ogawa S;Ishii Y;Itoi E;

Organisation : Department of Orthopaedic Surgery, Nishitaga National Hospital, Sendai, Japan. koakutsu@med.tohoku.ac.jp

Journal of Publication : Ups J Med Sci

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/22111522

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