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Traumatic L4-5 Spondylolisthesis: case report and literature review
Authors:Rohit Jindal  Manish Pruthi  Sudhir Garg  Raj Bahadur Sharma
Institution:(1) Department of Orthopaedics, Government Medical College and Hospital, Sector-32, Chandigarh, India;(2) Department of Bone and Soft Tissue, Tata Memorial Hospital, Parel, Mumbai, India;
Abstract:We report a case of traumatic L4/L5 spondylolisthesis caused by fall of heavy weight on the back of a construction worker. CT scan showed dislocation of left L4/5 facet with fracture of right L5 facet. MRI showed ruptured intervertebral disc suggestive of acute lesion. The patient was treated surgically 7 days after the injury and posterior L3/4/5 instrumentation with posterolateral and posterior lumbar interbody fusion using mesh cage. At 18-month follow-up, reduction was maintained and solid fusion of interbody and posterolateral grafts was achieved.
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