CORRECTION OF MULTILEVEL LUMBAR RETROLISTHESES BY NON-SURGICAL EXTENSION TRACTION PROCEDURES IN A PATIENT WITH CONGENITAL FUSION OF L5-S1: A CBP® CASE REPORT WITH A 13-MONTH FOLLOW-UP
Main Article Content
Keywords
Spondylolisthesis, Low Back Pain, Lumbar Traction
Abstract
Objective: To discuss the correction of multiple retrolistheses in a patient with back pain.
Clinical Features: A 32-year old male sought care for recurrent back pain. He had reduced lumbar spine range of motion without neurologic involvement. Radiographic analysis showed multilevel pathologic retrolistheses from L1-2 to L4-5, as well as congenital fusion of L5-S1.
Intervention and Outcome: The treatment consisted of lumbar extension traction and spinal manipulation. Following treatment, the patient experienced significant back pain relief and increased flexibility. Follow-up lumbar radiography illustrated reduction of all retrolistheses to within normal. A 13-month follow-up demonstrated stability of the initial multi-level retrolisthesis subluxation corrections and the patient experienced no further pain.
Conclusion: This case illustrates that early lumbar spine (grade 1) retrolistheses are amenable to correction via non-surgical means. This is the second case in the literature showing spinal traction successfully reducing spondylolisthesis.
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References
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31. Fortner MO, Oakley PA, Harrison DE. Non-surgical improvement of cervical lordosis is possible in advanced spinal osteoarthritis: a CBP® case report. J Phys Ther Sci 2018;30:108-112
32. Dennis AK, Oakley PA, Weiner MT, et al. Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP® case report. J Phys Ther Sci 2018;30:654-657
33. Oakley PA. Is early treatment for mild adolescent idiopathic scoliosis superior over the traditional 'watch & wait' approach? A case report with long-term follow-up. J Phys Ther Sci 2018;30:680-684
34. Oakley PA, Ehsani NN, Harrison DE. Repeat Radiography in Monitoring Structural Changes in the Treatment of Spinal Disorders in Chiropractic and Manual Medicine Practice: Evidence and Safety. Dose Response 2019 Dec 6;17(4):1559325819891043
35. Oakley PA, Ehsani NN, Harrison DE. The Scoliosis Quandary: Are Radiation Exposures From Repeated X-Rays Harmful? Dose Response 2019 Jun 11;17(2):1559325819852810
36. Oakley PA, Harrison DE. Radiophobia: 7 Reasons Why Radiography Used in Spine and Posture Rehabilitation Should Not Be Feared or Avoided. Dose Response 2018 Jun 27;16(2):1559325818781445
37. Oakley PA, Cuttler JM, Harrison DE. X-Ray Imaging is Essential for Contemporary Chiropractic and Manual Therapy Spinal Rehabilitation: Radiography Increases Benefits and Reduces Risks. Dose Response 2018 Jun 19;16(2):1559325818781437
38. Oakley PA, Harrison DE. Radiogenic cancer risks from chiropractic x-rays are zero: 10 reasons to take routine radiographs in clinical practice. Ann Vert Sublux Res March 10, 2018:48–56
39. Alcantara J, Heschong R, Plaugher G, Alcantara J. Chiropractic management of a patient with subluxations, low back pain and epileptic seizures. J Manipulative Physiol Ther 1998;21:410-418
40. Paulk GP, Harrison DE. Management of a chronic lumbar disk herniation with chiropractic biophysics methods after failed chiropractic manipulative intervention. J Manipulative Physiol Ther 2004;27:579
41. Plaugher G, Cremata EE, Phillips RB. A retrospective consecutive case analysis of pretreatment and comparative static radiological parameters following chiropractic adjustments. J Manipulative Physiol Ther 1990;13:498-506
2. Burton MR, Mesfin FB. Isthmic Spondylolisthesis. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2018-2017 Oct 6. [https://www.ncbi.nlm.nih.gov/pubmed/28722876]
3. Zhu F, Bao H, Liu Z, et al. Lumbar Retrolisthesis in Aging Spine: What are the Associated Factors? Clin Spine Surg 2017;30(6):E677-E682
4. Andersson GBJ, Cocchiarella L. AMA Guides® to the Evaluation of Permanent Impairment. 5 ed. 2000. ISBN#: 978-1-60359-780-7
5. American Academy of Orthopedic Surgeons. Diseases and conditions: Spondylolysis and spondylolisthesis
[https://orthoinfo.aaos.org/en/diseases--conditions/spondylolysis-and-spondylolisthesis] Accessed September 22, 2018
6. Fedorchuk C, Lightstone DF, McRae C, et al. 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;11:13-26
7. Fairbank JC, Couper J, Davies JB, et al. The Oswestry low back pain disability questionnaire. Physiotherapy 1980;66:271–273
8. Harrison DE, Harrison DD, Cailliet R, et al. Radiographic analysis of lumbar lordosis: centroid, Cobb, TRALL, and Harrison posterior tangent methods. Spine 2001;26:E235-242
9. Harrison DE, Holland B, Harrison DD, et al. Further reliability analysis of the Harrison radiographic line drawing methods: Crossed ICCs for lateral posterior tangents and AP Modified-Risser Ferguson. J Manipulative Physiol Ther 2002;25:93-98.
10. Harrison DE, Harrison DD, Colloca CJ, et al. Repeatability over time of posture, radiograph positioning, and radiograph line drawing: An analysis of six control groups. J Manipulative Physiol Ther 2003;26:87-98
11. Harrison DD, Cailliet R, Janik TJ, et al. Elliptical modeling of the sagittal lumbar lordosis and segmental rotation angles as a method to discriminate between normal and low back pain subjects. J Spinal Disord 1998;11:430-439
12. Janik TJ, Harrison DD, Cailliet R, et al. Can the sagittal lumbar curvature be closely approximated by an ellipse? J Orthop Res 1998;16:766-770
13. Harrison DD, Janik TJ, Harrison GR, et al. Chiropractic Biophysics technique: a linear algebra approach to posture in chiropractic. J Manipulative Physiol Ther 1996;19:525-535
14. Oakley PA, Harrison DD, Harrison DE, et al. Evidence-based protocol for structural rehabilitation of the spine and posture: review of clinical biomechanics of posture (CBP®) publications. J Canadian Chiropr Asso 2005;49:270-296
15. Harrison DE, Betz JW, Harrison DD, et al. CBP Structural Rehabilitation of the Lumbar Spine: Harrison Chiropractic Biophysics Seminars, Inc., 2007
16. Panjabi MM, White AA. Biomechanics in the musculoskeletal system. Churchill Livingstone, 2001
17. Oliver MJ, Twomey LT. Extension creep in the lumbar spine. Clin Biomech 1995;10:363-368
18. Harrison DE, Cailliet R, Harrison DD, et al. Changes in sagittal lumbar configurations with a new method of extension traction: Nonrandomized clinical controlled trial. Arch Phys Med Rehab 2002;83:1585-1591
19. Diab AA, Moustafa IM. Lumbar lordosis rehabilitation for pain and lumbar segmental motion in chronic mechanical low back pain. J Manipulative Physiol Ther 2012;35:246-253
20. Diab AAM, Moustafa IM. The efficacy of lumbar extension traction for sagittal alignment in mechanical low back pain: A randomized trial. J of Back and Musculoskeletal Rehabilitation 2013;26:213-220
21. Moustafa IM, Diab AA. Extension traction treatment for patients with discogenic lumbosacral radiculopathy: a randomized controlled trial. Clin Rehabil 2012;27:51-62
22. Oakley PA, Navid Ehsani N, Moustafa IM, Harrison DE. Restoring lumbar lordosis: A systematic review of controlled trials utilizing Chiropractic BioPhysics® (CBP®) non-surgical approach to increasing lumbar lordosis in the treatment of low back disorders. J Phys Ther Sci 2020;32:601-610
23. Lee DY. Analysis of muscle activation in each body segment in response to the stimulation intensity of whole-body vibration. J Phys Ther Sci 2017;29:270-273
24. Shenoy K, Stekas N, Donnally CJ 3rd, et al.: Retrolisthesis and lumbar disc herniation: a postoperative assessment of outcomes at 8-year follow-up. Spine J 2019;19:995-1000
25. Kang KK, Shen MS, Zhao W, et al. Retrolisthesis and lumbar disc herniation: a postoperative assessment of patient function. Spine J 2013;13:367-372
26. Zaidi S, Nuhmani S, Jalwan J. Retrolisthesis: An update. Saudi J Sports Med 2015;15:111-116
27. Dorland's. Illustrated Medical Dictionary (32nd ed.). Elsevier Saunders. 2012:p.1636
28. Berlemann U, Jeszenszky D, Buhler D, Harm J. Mechanisms of retrolisthesis in the lower lumbar spine. A radiographic study. Act Orthop Belg 1999;4:427–477
29. Giles LGF, Muller R and Winter GJ. Lumbosacral disc bulge or protrusion suggested by lateral lumbosacral plain x-ray film – preliminary results. J Bone Joint Surg 2006;88-B, SUPP_III:450
30. Barrey C, Roussouly P, Perrin G, et al. Sagittal balance disorders in severe degenerative spine. Can we identify the compensatory mechanisms? Eur Spine J 2011;20(Suppl 5):626–633
31. Fortner MO, Oakley PA, Harrison DE. Non-surgical improvement of cervical lordosis is possible in advanced spinal osteoarthritis: a CBP® case report. J Phys Ther Sci 2018;30:108-112
32. Dennis AK, Oakley PA, Weiner MT, et al. Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP® case report. J Phys Ther Sci 2018;30:654-657
33. Oakley PA. Is early treatment for mild adolescent idiopathic scoliosis superior over the traditional 'watch & wait' approach? A case report with long-term follow-up. J Phys Ther Sci 2018;30:680-684
34. Oakley PA, Ehsani NN, Harrison DE. Repeat Radiography in Monitoring Structural Changes in the Treatment of Spinal Disorders in Chiropractic and Manual Medicine Practice: Evidence and Safety. Dose Response 2019 Dec 6;17(4):1559325819891043
35. Oakley PA, Ehsani NN, Harrison DE. The Scoliosis Quandary: Are Radiation Exposures From Repeated X-Rays Harmful? Dose Response 2019 Jun 11;17(2):1559325819852810
36. Oakley PA, Harrison DE. Radiophobia: 7 Reasons Why Radiography Used in Spine and Posture Rehabilitation Should Not Be Feared or Avoided. Dose Response 2018 Jun 27;16(2):1559325818781445
37. Oakley PA, Cuttler JM, Harrison DE. X-Ray Imaging is Essential for Contemporary Chiropractic and Manual Therapy Spinal Rehabilitation: Radiography Increases Benefits and Reduces Risks. Dose Response 2018 Jun 19;16(2):1559325818781437
38. Oakley PA, Harrison DE. Radiogenic cancer risks from chiropractic x-rays are zero: 10 reasons to take routine radiographs in clinical practice. Ann Vert Sublux Res March 10, 2018:48–56
39. Alcantara J, Heschong R, Plaugher G, Alcantara J. Chiropractic management of a patient with subluxations, low back pain and epileptic seizures. J Manipulative Physiol Ther 1998;21:410-418
40. Paulk GP, Harrison DE. Management of a chronic lumbar disk herniation with chiropractic biophysics methods after failed chiropractic manipulative intervention. J Manipulative Physiol Ther 2004;27:579
41. Plaugher G, Cremata EE, Phillips RB. A retrospective consecutive case analysis of pretreatment and comparative static radiological parameters following chiropractic adjustments. J Manipulative Physiol Ther 1990;13:498-506
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Dec 4, 2020
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Oakley, P., & Harrison, D. . (2020). CORRECTION OF MULTILEVEL LUMBAR RETROLISTHESES BY NON-SURGICAL EXTENSION TRACTION PROCEDURES IN A PATIENT WITH CONGENITAL FUSION OF L5-S1: A CBP® CASE REPORT WITH A 13-MONTH FOLLOW-UP. Journal of Contemporary Chiropractic, 3(1), 137–142. Retrieved from https://journal.parker.edu/index.php/jcc/article/view/137
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