Traumatic Anterolisthesis with pre-existing idiopathic scoliosis: An unusual case report

Abstract

Low back pain may have different causes and one of the cause is anterolisthesis. Anterolisthesis is the anteriorly slippage of a vertebrae onto its caudal one. Its Grading is done using mayerding classification system on a plain radiograph in oblique view. Grade I is identified less than the 25% of slippage, in grade II its 25 to 50%, grade III of 51 to 75%, and grade IV having 76 to 100% of slippage. Sometimes it may be symptomatic as well as asymptomatic; pattern of pain is usually localized and/or referred to the dermatome of slipped vertebrae. Non-operative management is preferred as long as failure of non-operative management and neurological deficit. Case Summary: we presented the case of traumatic anterolisthesis of grade I with the preexisting idiopathic scoliosis. Cases with other conditions have been reported before like spondolysis but not with scoliosis. Case was diagnosed with plain radiography as well as physical examination. The condition was managed with physical therapy. Conclusion: Grade I anterolisthesis can be manageable with non-operative methods such as physical therapy. Cryotherapy is found to provide maximum relive of inflammation based pain than thermotherapy. Early diagnosis and treatment is beneficial to rescue patient from state of kinesophobia.