Li DM, Peng BG. Surgical treatment of four segment lumbar spondylolysis: A case report . World J Clin Cases 2021; 9(17): 4408-4414 [PMID: 34141808 DOI: 10.12998/wjcc.v9.i17.4408]
Corresponding Author of This Article
Bao-Gan Peng, MD, PhD, Professor, Surgeon, Department of Orthopedics, The Third Medical Center of People's Liberation Army General Hospital, No. 69 Yongding Road, Beijing 100039, China. pengbaogan76611@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2021; 9(17): 4408-4414 Published online Jun 16, 2021. doi: 10.12998/wjcc.v9.i17.4408
Surgical treatment of four segment lumbar spondylolysis: A case report
Duan-Ming Li, Bao-Gan Peng
Duan-Ming Li, Bao-Gan Peng, Department of Orthopedics, The Third Medical Center of People's Liberation Army General Hospital, Beijing 100039, China
Author contributions: Li D and Peng B wrote the manuscript, collected data for review, and treated patients; All authors read and approved the final version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no current financial arrangement or affiliation with any organization that may have a direct influence on their work.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bao-Gan Peng, MD, PhD, Professor, Surgeon, Department of Orthopedics, The Third Medical Center of People's Liberation Army General Hospital, No. 69 Yongding Road, Beijing 100039, China. pengbaogan76611@163.com
Received: February 2, 2021 Peer-review started: February 2, 2021 First decision: March 25, 2021 Revised: March 27, 2021 Accepted: April 7, 2021 Article in press: April 7, 2021 Published online: June 16, 2021
Abstract
BACKGROUND
Four-level lumbar spondylolysis is extremely rare. So far, only 1 case has been reported in the literature.
CASE SUMMARY
A 19-year-old man presented with severe back pain irresponsive to conservative therapies for 2 years. Lumbar radiographs and two-dimensional computed tomography scan showed four segment lumbar spondylolysis on both sides of L2-L5. Lumbar magnetic resonance imaging showed normal signal in all lumbar discs. Because daily activities were severely limited, surgery was recommended for the case. The patient underwent four-level bilateral isthmic repair at L2-L5. During surgery, L2-L5 isthmi were curetted bilaterally, freshened, and then grafted with autologous iliac bone that was bridged and compressed with a pedicular screw connected to a sub-laminar hook by a short rod. The symptoms of back pain almost disappeared. He has been followed-up for 96 mo, and his symptoms have never recurred. Fusion was found in all repaired isthmi 14 mo after surgery according to evaluation of lumbar radiography and computed tomography scan.
CONCLUSION
We report here 1 case of four-level lumbar spondylolysis that was treated successfully with direct isthmic repair.
Core Tip: Four-level lumbar spondylolysis is extremely rare. So far, only 1 case has reported in the literature. In the present study, we report 1 case of four-level lumbar spondylolysis that was treated successfully with direct isthmic repair.
