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with a grade I spondylolisthesis of L2 on L3.

(Figs 1 and 2) revealed lucency through the pars interarticularis of L2, with a grade I spondylolisthesis of L2 on L3.

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L1/2 L2/3 L3/4 L5s1 moderate to severe

This 58 year-old female presented with 4-year history of low back pain that progressively worsen over the past 1 year and was associated with bilateral buttock, lateral thigh and calf pain along L4 and L5 dermatome. Pain was increased upon walking and relieved by rest. Claudication distance measured 5–10 m. Physical examination revealed tenderness over the lumbar spine. Lumbar flexion and extension were limited and painful. There was weakness of the bilateral extensor hallucis longus (i.e. muscle strength grading of 4/5) and sensation at L4 and L5 dermatome was reduced. Plain radiography of the lumbar vertebrae revealed grade I degenerative spondylolisthesis at L2–L3, L3–L4 and L4–L5 (). Radiological studies showed elevated pedicle-facet angle and W-type of facet joints from L2 to L5. Magnetic resonance imaging revealed showed severe multilevel spinal canal stenosis from L2 to S1 ().

Note the L2, L3 and L4 vertebrae all line up and are stacked on top of each other.

The authors describe an unusual case of degenerative spondylolisthesis involving 3 levels of the lumbar spine from L2 to L5. The patient was a 58-year-old woman who suffered chronic back pain and neurogenic claudication. Plain radiography revealed grade I degenerative spondylolisthesis at L2–L3, L3–L4 and L4–L5. Elevated pedicle-facet joint angles and W-type facet joints at the lumbar spine was observed. Magnetic resonance imaging showed L2–S1 spinal cord compression at the lumbar spine. Patient underwent L2–S1 decompression laminectomy and posterior lateral fusion of L2–S1 with posterior instrumentation and bone grafting. Symptoms improved significantly at 4 months follow-up.

L1- L2 disc involvement and spondylolisthesis are ..

or posterior thigh may indicate an L2 or L3 lesion The test also stretches the femoral nerve.

Approximately 90% of all spondylolytic spondylolistheses involve the 5th lumbar vertebra. 5% at L4, 3% at L1 L2 and L3, and 2% at C5 C6 and C7.

Lumbar degenerative spondylolisthesis is a result of degenerative disorder of the intervertebral motion segment. It is a major cause of severe spinal canal stenosis and is often related to low back pain and leg pain. It often results in impaired quality of life and diminished functional capacity in the elderly. Degenerative spondylolisthesis often involved only one level (62%) and tend to present with severe localised stenosis at L4–L5 level. However it is well known that degenerative spondylolisthesis occurs in multiple levels of the lumbar spine and the frequency of multilevel spondylolisthesis is reported to be 5–11%. Multilevel segmental involvement is considered to be important for cauda equina dysfunction and for evaluation of decompression levels. To the best of our knowledge, there has been no published report of 3-segments degenerative spondylolisthesis with severe L2–S1 spinal stenosis. This article is the first report on an unusual case of multilevel degenerative spondylolisthesis of the lumbar spine in a patient with back pain and neurogenic claudication.

treatment for spondylolisthesis

disc bulge is seen at L2-3 with mild degree of Retrolisthesis and Lumbar Disc Herniation: A Pre-operative Retrolisthesis and Lumbar Disc Herniation: Retrolisthesis is thought to cause symptoms due to both buckling of the posterior annulus and narrowing of the Retrolisthesis - neck and back Grade 1 retrolisthesis of L4 on S1 associated with You then note an L3 nerve root involvement and even mention a problem “from the L2-L3 protrusion” but I have read alot about this condition (Retrolisthesis) and I (Retrolisthesis).

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  • Lumbar l2 l3 - Things You Didn't Know - HealthTap

    Lumbar Spine Injury - L2-3, L3-4 Disc Bulges and L4-5 Spondylolisthesis with Proposed Spinal Fusion Surgery.

  • Lumbar l2 l3 - 2 Lumbar ESIs, 2 ..


  • Doctor insights on: Lumbar L2 L3 Share ..

    The L3-L4 level.

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