Correction of Grade 2 Spondylolisthesis Following a Non-Surgical Structural Spinal Rehabilitation Protocol Using Lumbar Traction: A Case Study and Selective Review of Literature

J Radiol Case Rep. 2017 May 31;11(5):13-26. doi: 10.3941/jrcr.v11i5.2924. eCollection 2017 May.


Objective: Discuss the use of non-surgical spinal rehabilitation protocol in the case of a 69-year-old female with a grade 2 spondylolisthesis. A selective literature review and discussion are provided.

Clinical features: A 69-year-old female presented with moderate low back pain (7/10 pain) and severe leg cramping (7/10 pain). Initial lateral lumbar x-ray revealed a grade 2 spondylolisthesis at L4-L5 measuring 13.3 mm.

Interventions and outcomes: The patient completed 60 sessions of Mirror Image® spinal exercises, adjustments, and traction over 45 weeks. Post-treatment lateral lumbar x-ray showed a decrease in translation of L4-L5 from 13.3 mm to 2.4 mm, within normal limits.

Conclusions: This case provides the first documented evidence of a non-surgical or chiropractic treatment, specifically Chiropractic BioPhysics®, protocols of lumbar spondylolisthesis where spinal alignment was corrected. Additional research is needed to investigate the clinical implications and treatment methods.

Keywords: Chiropractic BioPhysics®; Mirror Image®; adjustment; anterolisthesis; lateral lumbar radiograph; lumbar spine; lumbar spondylolisthesis; posture; sacral base angle; spinal alignment; traction; vertebral subluxation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Clinical Protocols
  • Female
  • Humans
  • Low Back Pain / etiology
  • Lumbar Vertebrae / diagnostic imaging*
  • Manipulation, Chiropractic / methods*
  • Muscle Cramp / etiology
  • Rehabilitation
  • Spondylolisthesis / complications
  • Spondylolisthesis / diagnostic imaging
  • Spondylolisthesis / rehabilitation
  • Spondylolisthesis / therapy*
  • Traction / methods*