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

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

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Free PMC article
Review

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

Curtis Fedorchuk et al. J Radiol Case Rep. .
Free PMC article

Abstract

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.

Figures

Figure 1
Figure 1
69-year-old female with low back pain (LBP) and a grade 2 spondylolisthesis. Findings: Pre-treatment LL x-ray. LL projection demonstrates a grade 2 L4-L5 spondylolisthesis measuring 13.3 mm of anterior translation of L4 on L5 perpendicular from the posterior tangent of the L5 vertebral body to the posterior tangent of the L4 vertebral body. Technique: 200mAs, 200mA, 86kVp, 40″ FFD, Central Ray (CR) at L4.
Figure 2
Figure 2
69-year-old female with low back pain (LBP) and a grade 2 spondylolisthesis. Findings: Re-exam 1 LL x-ray after 11 weeks. LL projection demonstrates a grade 2 L4-L5 spondylolisthesis measuring 7.1 mm of anterior translation of L4 on L5 perpendicular from the posterior tangent of the L5 vertebral body to the posterior tangent of the L4 vertebral body. Technique: 200mAs, 200mA, 86kVp, 40″ FFD, CR at L4.
Figure 3
Figure 3
69-year-old female with low back pain (LBP) and a grade 2 spondylolisthesis. Findings: Re-exam 2 x-ray after 45 weeks. LL projection demonstrates 2.4 mm anterior translation of L4 on L5 perpendicular from the posterior tangent of the L5 vertebral body to the posterior tangent of the L4 vertebral body. This measurement is WNL. Technique: 200mAs, 200mA, 86kVp, 40″ FFD, CR at L4.

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