title: Surgical management of multilevel lumbar spondylolysis: a case report and review of the literature.
abstract: Multilevel lumbar spondylolysis accounts for less than 6% of the cases of lumbar spondylolysis and its treatment, as reported in the literature, has not been consistent. Fewer than ten cases presenting triple lumbar spondylosis have been published. We describe the case of a 33-year-old male presenting bilateral L3, L4, and L5 isthmic lysis with no spondylolisthesis or disc degeneration. The MRI and CT of the lumbar spine were decisive elements in the therapeutic choice and the surgical treatment performed was bilateral L3 and L4 isthmic repair via a combined anterior and posterior L5S1 approach. The clinical and radiological results were good at the last follow-up visit.
authors.affiliation: Service de neurochirurgie C et chirurgie du rachis, hôpital neurologique P. Wertheimer, université Claude Bernard Lyon 1, 59, boulevard Pinel, 69003 Lyon, France. Electronic address: alice.darnis@icloud.com.
authors.forename: A
authors.initials: A
authors.lastname: Darnis
authors.affiliation: Service de neurochirurgie C et chirurgie du rachis, hôpital neurologique P. Wertheimer, université Claude Bernard Lyon 1, 59, boulevard Pinel, 69003 Lyon, France.
authors.forename: O
authors.initials: O
authors.lastname: Launay
authors.affiliation: Service de neurochirurgie C et chirurgie du rachis, hôpital neurologique P. Wertheimer, université Claude Bernard Lyon 1, 59, boulevard Pinel, 69003 Lyon, France.
authors.forename: G
authors.initials: G
authors.lastname: Perrin
authors.affiliation: Service de neurochirurgie C et chirurgie du rachis, hôpital neurologique P. Wertheimer, université Claude Bernard Lyon 1, 59, boulevard Pinel, 69003 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Barrey
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D013123:Spinal Fusion / Q000379:methods*; D013169:Spondylolysis / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: Direct repair; Isthmic spondylolysis; MRI; Multilevel lumbar spondylolysis; Spinal fusion