Abstract
This rare and unusual case is about a 54-year-old female, who has pars fractures involving consecutive four-level bilateral spondylolysis and spondylolisthesis. Due to the increasing intensity with lumbar instability, the patient had severe low back pain. For diagnosis, dynamic X-ray, magnetic resonance, 3D tomography were performed, and bilateral L2-3-4-5 pars fracture and L3-4 spondylolisthesis were observed. This case was treated surgically byspinal canal decompression at L3-4, L4-5 and L5-S1, posterior lumbar interbody fusion at L4–5 and L5–S1, and pedicle screw fixation at L2–S1. The lower back pain disappeared after the surgery.
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