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L3-L4/L4-L5 Type II-A spondylolisthesis: A case report
Jonathan McKeeman1, Emily Zielinski2, Flynn A Rowan2
1Department of Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, PA, United States of America.
International Journal of Surgery Case Reports
|October 10, 2024
Summary
Double level isthmic spondylolisthesis at L3-L4/L4-5 is a rare spinal condition. This case report details successful surgical treatment and symptom resolution, offering guidance for future cases.
Area of Science:
- Spine surgery
- Neurology
- Orthopedics
Background:
- Double level isthmic spondylolisthesis at L3-L4/L4-5 is exceptionally rare.
- Few documented cases exist, with limited detailed case reports available.
Observation:
- A 49-year-old male presented with neurologic symptoms due to L3-4 and L4-5 isthmic spondylolisthesis.
- Conservative management failed, necessitating surgical intervention.
Findings:
- The patient underwent L3-4, L4-5 Gill laminectomy, transforaminal interbody fusion with bone grafting, and L3-5 posterior instrumented fusion.
- Complete resolution of symptoms was achieved post-operatively.
Implications:
- This rare condition can be effectively treated with posterior decompression and instrumented interbody fusion.
- The successful outcome provides a potential treatment pathway for surgeons managing similar rare spinal pathologies.
- This case report serves as a guide for surgical management and offers confidence in achieving favorable patient outcomes.
