Management of Lumbar Radiculopathy Associated With an Extruded L4-L5 Spondylolytic Spondylolisthesis Using Flexion-Distraction Manipulation: A Case Study.
Chiropractic
Low Back Pain
Manipulation
Sciatica
Spondylolisthesis
Journal
Journal of chiropractic medicine
ISSN: 1556-3707
Titre abrégé: J Chiropr Med
Pays: United States
ID NLM: 101163637
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
23
10
2018
revised:
22
01
2019
accepted:
05
02
2019
entrez:
7
1
2021
pubmed:
1
12
2019
medline:
1
12
2019
Statut:
ppublish
Résumé
This case report describes the effect of Cox flexion-distraction manipulation on a patient with a symptomatic L4-L5 extruded disc above an L5-S1 spondylolytic spondylolisthesis. A 40-year-old man presented to a chiropractor with complaints of acute low back pain and stiffness with pain and tingling radiating into the left leg and foot. Plain-film radiography revealed bilateral pars defects at L5, and magnetic resonance imaging revealed the L4-L5 disc extrusion. Treatment consisted solely of Cox flexion-distraction for a total of 9 visits over a period of 4 weeks. The pain was assessed initially and at the end of care using a numeric scale of 0 to 10. At treatment conclusion, the original low back and radicular-type symptoms were no longer present, and the patient rated the pain as a 0 after an initial pain assessment of 9 on the 0-10 scale. After 10 years, a follow-up examination showed no orthopedic or neurologic deficits and no recurrence of the original symptoms. This patient responded favorably to the chiropractic treatment provided. Cox flexion-distraction manipulation may be a viable nonsurgical treatment for similar symptomatic individuals with disc extrusions and concurrent spondylolytic spondylolisthesis.
Identifiants
pubmed: 33408591
doi: 10.1016/j.jcm.2019.02.001
pii: S1556-3707(20)30042-0
pmc: PMC7774099
doi:
Types de publication
Case Reports
Langues
eng
Pagination
311-316Informations de copyright
© 2020 by National University of Health Sciences.
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