Case of Lytic L4–L5 Spondylolisthesis

Overview

At Verteva Spine & Ortho Care, we combine cutting-edge technology with expert surgical skill to deliver precise, minimally invasive solutions for spine disorders. This case highlights the journey of a 45-year-old woman suffering from debilitating lytic L4–L5 spondylolisthesis.

The Challenge

The patient presented with:

• Severe lower back pain
• Radiating leg pain affecting daily activities
• Instability at the L4–L5 level due to a lytic pars defect
• Difficulty standing or walking for long durations

Her condition had progressed despite physiotherapy, medications, and injections—necessitating a definitive, minimally invasive solution. .

The Treatment

After thorough evaluation, our team opted for a Robotic Endoscopic Transforaminal Lumbar Interbody Fusion (TLIF)*—a next-generation fusion technique that combines:

• Robotic navigation for millimetre-level precision
• Endoscopic visualization for minimal muscle disruption
• Smaller incisions, less pain, and faster recovery
• Accurate placement of screws and cage for long-term stabili

This advanced approach ensured maximum safety while preserving surrounding tissues.

The Outcome

The surgery was a success, delivering:

• Excellent decompression of the nerve roots
• Stable fusion at L4–L5
• Immediate relief of leg pain
• Minimal blood loss and faster post-operative recovery
• Early mobilization and return to routine activities within days