Rapid Neurological Recovery Following Delayed Correction of L4-L5 Traumatic Spondylolistheis

We present in our article a case report of a patient who presented to us with bilateral foot drop secondary to L4-5 traumatic spondylolisthesis that occurred 3 months prior to her presentation to our hospital.She was treated surgically in two stages, the first stage included a wide laminectomy with bilateral facetectomies, followed by a progressive reduction of the listhesis and posterior pedicle screw fixation.The second stage followed which include anterior column support using a cage at L4-5 level.The patient showed remarkable recovery of her neurological status that started at the second postoperative day and had almost complete recovery after around 6 weeks.In case of traumatic spondylolisthesis with neurological compromise, surgical decompression and stabilization should be considered, even in late presentation, because neurological recovery is possible.