Index to Chiropractic Literature
Index to Chiropractic Literature
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Wednesday, June 23, 2021
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ID 25955
  Title Progression of diagnostic imaging findings of a patient with traumatic spondylolisthesis secondary to unilateral facet fractures: A case report
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6656905/?report=classic
Journal J Chiropr Med. 2019 Jun;18(2):139-143
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: The purpose of this case study is to describe the diagnostic imaging studies of a patient who had a traumatic spondylolisthesis at L5-S1 secondary to unilateral facet fractures.

Clinical Features: A 21-year-old man experienced a rollover motor vehicle crash that led to low back pain and progressive left-sided radiculopathy. Later, he sought treatment from a doctor of chiropractic because he continued to have low back pain with progressive pain down his left leg. A magnetic resonance imaging study demonstrated a left paracentral disc protrusion at L5-S1. Follow-up computed tomography demonstrated multiple transverse process fractures and left-sided L5-S1 facet fractures with spondylolisthesis that progressed over time.

Intervention and Outcome: The patient was referred for a neurosurgical consultation 10 months after the injury. At 12 months after the injury, he underwent transforaminal lumbar interbody fusion with a posterior approach. The patient’s pain and radicular symptoms resolved after the surgery.

Conclusion: This patient exhibited posterior element fractures, had continued symptom progression, and was monitored for the development of a spondylolisthesis. Because of progression and exacerbation of symptoms, neurosurgical consultation for surgical stabilization was mandated.

Author keywords: Spondylolisthesis; Spinal Fractures; Low Back Pain

Author affiliations: Clinical Sciences Department, Parker University, Dallas, Texas, United States

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. PubMed Record


 

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