52 A 62-year-old woman presented with pain on lumbar flexion but was otherwise intact. Dynamic lumbar films demonstrated a mobile listhesis at L3-L4. She has had two lumbar laminectomies and has a chronic history of mechanical low back pain. T2-weighted magnetic resonance imaging (MRI) of the lumbar spine shows severe spondylotic change throughout, with Modic end-plate changes at L3-L4, L4-L5, and L5-S1 (Fig. 52-1).
Degenerative Lumbar Spine Disease with Segmental Instability
Presentation
Radiologic Findings
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