Abstract
The patient was a 79-year-old woman who presented to her primary care physician with complaints of constant low back and left lower extremity pain that had progressively worsened over the previous 6 months. Given the patient's age, progressively worsening symptoms, and positive neurologic findings, radiographs were ordered, which demonstrated a spondylolisthesis at L4-5 with significant disc space narrowing at L4-5 and L5-S1. Further evaluation through magnetic resonance imaging demonstrated severe central canal, lateral recess, and foraminal stenosis, as well as a posterior disc protrusion, a degenerative forward listhesis, and a left-sided synovial cyst at L4-5. J Orthop Sports Phys Ther 2013;43(9):674. doi:10.2519/jospt.2013.0417
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