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

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.