Abstract
Spondylolisthesis is a condition of the spine that causes lower back pain. It is a vertebra slippage that occurs at the base of the spine, in most instances. We report a case of occult spondylolisthesis of a patient with grade 1 spondylolisthesis (L4 over L5). We presented the radiologic finding, diagnosis, and treatment here. A 45-year-old female was presented with the complaints of low back pain with sciatica for 4 years. The radiologic finding showed that she had dysaesthesia on both L5 dermatome and MRI of LS Spine revealed prolapsed disc at L4/5. The patient underwent decompression, stabilization via pedicle screw at L4 and L5 with fusion at L4/5 and after constant follow-ups, she was symptom-free with a full range of motion of the spine. Posterior fusion with instrumentation of the pedicle screw is commonly considered the gold standard method of lumbar spinal fusion. Non-surgical treatment is effective in relieving low back pain of the patient in most cases however, symptomatic patients need to be treated with the surgical method.
Highlights
We report a case of occult spondylolisthesis of a patient with grade 1 spondylolisthesis (L4 over L5)
Spondylolisthesis is the slippage of one vertebral body concerning the adjoining vertebral body causing mechanical or radicular side effects or agony
Spondylolisthesis is evaluated by the level of slippage of one vertebral body on the adjoining vertebral body
Summary
Spondylolisthesis is the slippage of one vertebral body concerning the adjoining vertebral body causing mechanical or radicular side effects or agony. This "slip" as a rule happens when a locking instrument comprised by the laminae and facet joints has fizzled and may stay static or progress after some time. It tends to be because of innate, gained, or idiopathic causes. Spondylolisthesis is evaluated by the level of slippage of one vertebral body on the adjoining vertebral body. Degenerative spondylolisthesis predominately happens in grown-ups and is more normal in females than males with expanded hazard in the obese
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