case_images: PMC9926031_01
case_images: Preoperative anteroposterior and lateral X-rays before the second surgery
case_images: ABR-11-113-g001.jpg
case_images: PMC9926031_01_ABR-11-113-g001.jpg
case_images: F1
case_images: Six months after the first surgery and failure of conservative treatment, including physiotherapy and caudal injection of steroids, the patient underwent second surgery with the diagnosis of lumbar spinal stenosis [Figure 1].
case_images: Postoperative anteroposterior and lateral radiographs after the second surgery, implants removal, and decompression
case_images: ABR-11-113-g002.jpg
case_images: PMC9926031_01_ABR-11-113-g002.jpg
case_images: F2
case_images: At the time of surgery, no instrumentation was implanted [Figure 2].
case_images: Left: Flexion and extension lateral radiographs demonstrating instability of L3 and L4, Right: Sagittal MRI before the third surgery
case_images: ABR-11-113-g003.jpg
case_images: PMC9926031_01_ABR-11-113-g003.jpg
case_images: F3
case_images: The patient did not improve in the course of 1 year after the second surgery, and at this time, flexion and extension X-rays showed instability between L2 and L3 vertebrae [Figure 3].
case_images: Postoperative anteroposterior and lateral radiographs after the third surgery
case_images: ABR-11-113-g004.jpg
case_images: PMC9926031_01_ABR-11-113-g004.jpg
case_images: F4
case_images: T11 to S, and decompression was done [Figure 4].