Lumbar spondylolysis is a relatively common condition that can cause a variety\nof clinical manifestations related to the lumbar spine. However, multilevel\nlumbar spondylolysis is rare and accounts for less than 6% of lumbar\nspondylolysis. We report a case of three-level lumbar spondylolysis with single-\nlevel spondylolisthesis. A 47-year-old woman presented to us with low\nback pain for 9 years that progressively worsened and the pain was exacerbated\nwith standing and walking. She was diagnosed with three-level lumbar\nspondylolysis at L3-5 and spondylolisthesis at L4. We performed posterolateral\nlumber fusion (PLF) and posterior lumbar interbody fusion (PLIF) surgery\nfor her. During the same period, pain recovery and fusion rate of the patient\nwere evaluated after surgery. The results were favorable and proved the\nefficacy of combining PLF and PLIF technique for treatment for three-level\nlumbar spondylolysis and single-level spondylolisthesis.
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