Asian Spine J.  2009 Jun;3(1):35-38. 10.4184/asj.2009.3.1.35.

Multiple Levels of Lumbar Spondylolysis: A Case Report

• Park KH
• Ha JW
• Kim HS
• Moon ES
• Moon SH
• Lee HM
• Kim HJ
• Kim JY

• KMID: 2045795
• DOI: http://doi.org/10.4184/asj.2009.3.1.35

Abstract

We report here on an unusual case of multiple levels of asymmetric lumbar spondylolysis in a 19-year-old woman. The patient had severe low back pain of increasing intensity with lumbar instability, which was evident on the dynamic radiographs. MRI demonstrated the presence of abnormalities and the three dimensional CT scan revealed asymmetric complete spondylolysis at the left L2, L3 and L4 levels and the right L1, L2 and L3 levels. This case was treated surgically by posterior and posterolateral fusion at L2-3-4 with intersegmental fixation using pedicle screws and an auto iliac bone graft. The patient was relieved of her low back pain after the surgery.

Keyword

Lower back pain; Multiple spondylolysis; Fusion

MeSH Terms

Female
Humans
Low Back Pain
Spondylolysis
Transplants
Young Adult