The incidence of isthmic spondylolysis is approximately 3% to 6% in the general population. Spondylolytic defects involving multiple vertebral levels, on the other hand, are extremely rare. Only a handful of reports have examined the outcomes of surgical treatment of multi-level spondylolysis. Here, we present one case of bilateral pars defects at L3, L4, and L5. The patient, a 46-year-old female, presented with lower back pain radiating into the left lower extremity. Radiographs and CT scans of the lumbar spine revealed bilateral pars defects at L3-L5. The patient underwent lumbar discectomy and interbody fusion of L4-S1 as well as direct repair of the pars defect at L3. There were no postoperative complications, and by seven months the patient had improved clinically. While previous reports describe the use of either direct repair or fusion in the treatment of spondylolysis, we are unaware of reports describing the use of both techniques at adjacent levels
Keywords : Accidental Falls,Back,Back Pain,Baltimore,complications,diagnosis,diagnostic imaging,Diskectomy,etiology,Female,Hand,Humans,Incidence,Lower Extremity,Lumbar Vertebrae,Magnetic Resonance Imaging,Maryland,Middle Aged,Neurosurgery,Pain,physiopathology,Postoperative Complications,Range of Motion,Articular,Recovery of Function,Spinal Fusion,Spine,Spondylolysis,surgery,Tomography,X-Ray Computed,Treatment Outcome,Universities,, Spondylolysis, foot clinic in london
Date of Publication : 2011
Authors : Hersh DS;Kim YH;Razi A;
Organisation : Department of Neurosurgery, University of Maryland Medical Center, Baltimore, Maryland, USA
Journal of Publication : Bull NYU Hosp Jt Dis
Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/22196393
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