Alghamdi Elham A, Amin Khan Muhammad R, Hamad Abdullah, Alzahrani Ali A
Orthopedic Surgery, King Saud Medical City, Riyadh, SAU.
General Practice, King Saud Medical City, Riyadh, SAU.
Cureus. 2022 Dec 23;14(12):e32863. doi: 10.7759/cureus.32863. eCollection 2022 Dec.
We report a case of a 65-year-old female presenting with an Anterolisthesis grade I, L5-S1. With a history of lower back pain that started two years ago with weak big toe extension. CT scan revealed that There is anterolisthesis grade I, L5-S1. No pars defect was seen, and degenerative changes in the bilateral facet joint L5-S1, with narrow joint space & sclerosis. The patient underwent conservative management to strengthen and stretch her back muscles for three months and had spontaneous fusion develop at an unstable level with relief of symptoms after nonoperative treatment.
我们报告一例65岁女性,患有L5-S1 I度前滑脱。有两年前开始的下背部疼痛病史,伴有拇趾背伸无力。CT扫描显示L5-S1 I度前滑脱。未见椎弓根峡部裂,L5-S1双侧小关节有退变改变,关节间隙变窄及硬化。患者接受了为期三个月的保守治疗,以加强和拉伸背部肌肉,非手术治疗后不稳定节段出现自发融合,症状缓解。