The patient, 78 years male, presented with back pain, as well as pain in both lower extremities, (L) (R). He was mobilizing with difficulty, bending over and rotating of his torso. He had also had significant weakness of his left leg.
The patient presented with severe and gradually worsening low back pain as well as weakness of the right leg, with L3, L5 and S1 motor deficit. The patient was also complaining of urinary disturbances. The neuroimaging investigation showed a Grade II spondylolisthesis at L3-L4 level, compromising the neural elements.