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- W2601769166 abstract "We here report the case of a 17-year old young patient with no congenital or hereditary risk factors or a history of trauma presenting with lumbar pain associated with significant balance disorders. Physical examination showed a flattening of gluteal regions and palpable upper edge of the first sacral vertebra in the lumbar hollow. The patient lowered hip on one side and his hips swayed as he walked. Lumbosacral spine CT scan for etiological assessment showed L5 vertebral body completely sliding forward, whose inferior vertebral endplate overlooked the anterosuperior edge of the first sacral vertebra with vertical appearance of the sacrum. It is associated with left L5 isthmic lysis and with reactive osteocondensing lesions of bone banks. The diagnosis of isthmic lysis degenerative spondyloptosis was made. Indeed, it corresponds to spondyloptosis grade V. Moreover, spondyloptosis is a complete dislocation of the fifth lumbar vertebra (L5) in front of the sacrum (S1). It corresponds to the higher grade of spondylolisthesis. Spondylolisthesis is classified into five categories: dysplastic, isthmic, degenerative, traumatic, and pathological. In adult patients effective treatment isis based on surgery while reduction therapy is an alternative medical treatment among children. The patient underwent conservative analgesic treatment with simple immobilisation, in the absence of surgical outcome." @default.
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- W2601769166 date "2017-01-01" @default.
- W2601769166 modified "2023-09-25" @default.
- W2601769166 title "Illustration d’une spondyloptose dégénérative du sujet jeune" @default.
- W2601769166 doi "https://doi.org/10.11604/pamj.2017.26.183.11509" @default.
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