title: The surgical treatment for a rare case of double-level isthmic spondylolisthesis in L4 and L5 lumbar spine: decompression, reduction and fusion.
abstract: An unusual case of a double-level isthmic spondylolisthesis of the lumbar spine in a 38-year-old female was described. The patient had been suffering from low back pain for 8 years and did not respond to conservative treatment. Her medical examination revealed that grade II isthmic spondylolisthesis was present both at L-4 to L-5 and at L-5 to S-1. The patient was managed by surgical treatment. After the reduction of lysthesis with posterior instrumentation, posterior lumbar interbody fusion (PLIF) technique was performed for double level. At a recent follow-up, 1 year after the surgery, the symptoms of the patient were completely resolved, reduction was preserved, and fusion was achieved. PLIF with posterior instrumentation and reduction seems to be a convenient treatment option in the treatment for double-level spondylolisthesis.
authors.affiliation: Department of Orthopaedics and Traumatology, Baskent University School of Medicine, Adana, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Uysal
authors.affiliation: Department of Orthopaedics and Traumatology, Kayseri Education and Research Hospital, Atatürk Bulvarı No:78, 38010, Kayseri, Turkey. esracirci@hotmail.com.
authors.forename: Esra
authors.initials: E
authors.lastname: Circi
authors.affiliation: Department of Orthopaedics and Traumatology, Baskent University School of Medicine, Adana, Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Ozalay
authors.affiliation: Department of Orthopaedics and Traumatology, Baskent University School of Medicine, Adana, Turkey.
authors.forename: Alihan
authors.initials: A
authors.lastname: Derincek
authors.affiliation: Department of Orthopaedics and Traumatology, Baskent University School of Medicine, Adana, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Cinar
keywords: Low back pain; Spondylolisthesis