Correction of Multilevel Lumbar Retrolistheses by Non-Surgical Extension Traction Procedures in a Patient with Congenital Fusion of L5-S1: A CBP® Case Report with a 13-month Follow-Up
Correction of Multilevel Lumbar Retrolistheses by Non-Surgical Extension Traction Procedures in a Patient with Congenital Fusion of L5-S1: A CBP® Case Report with a 13-month Follow-Up
Authors
- Paul A. Oakley
- Deed E. Harrison
Publication
Journal of Contemporary Chiropractic 2020; 3:137-142.
Article Link
Abstract
Objective: To discuss the correction of multiple retrolistheses in a patient with back pain.
Clinical Features: A 32-year old male sought care for recurrent back pain. He had reduced lumbar spine range of motion without neurologic involvement. Radiographic analysis showed multilevel pathologic retrolistheses from L1-2 to L4-5, as well as congenital fusion of L5-S1.
Intervention and Outcome: The treatment consisted of lumbar extension traction and spinal manipulation. Following treatment, the patient experienced significant
back pain relief and increased flexibility. Follow-up lumbar radiography illustrated reduction of all retrolistheses to within normal. A 13-month follow-up demonstrated stability of the initial multi-level retrolisthesis subluxation corrections and the patient experienced no further pain.
Conclusion: This case illustrates that early lumbar spine (grade 1) retrolistheses are amenable to correction via non-surgical means. This is the second case in the literature showing spinal traction successfully reducing spondylolisthesis. (J Contemporary Chiropr 2020;3:137-142)