Case ReportOpen Access

Dysplastic Lumbar Spondylolysis Presenting As Hyperventilation Syndrome in a Young Man

Volume 4 - Issue 4

**Shin-Tsu Chang*^1,2**

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- ¹Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung City, Taiwan
- ²Department of Physical Medicine and Rehabilitation, School of Medicine, National Defense Medical Center, Taipei City, Taiwan
*Corresponding author:Shin-Tsu Chang, Department of Physical Medicine and Rehabilitation, School of Medicine, National Defense Medical Center, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Section 4, Taichung, No.161, Sec. 6, Minquan East Road, Neihu District, Taipei, Taiwan

Received: May 09, 2018; Published: May 15,2018

DOI: 10.26717/BJSTR.2018.04.001071

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Abstract

Many causes contribute to hyperventilation; however, the pathophysiology involved is still unknown, and the skeletal origins of the condition have scarcely been examined. We present a case of a 20-year-old man with a history of hyperventilation and subtle lower back pain due to spondylolysis of the fifth lumbar vertebra with grade I spondylolisthesis. The duration and frequency of hyperventilation increased after performing physical modality and abated after discontinuing physical modality. We discuss the relationship and associated pathophysiology between hyperventilation and spondylolysis, which is the first report in the literature. We suggest that physical therapy might be harmful for some patients with hyperventilation, because the hyperventilation might be a clinical manifestation of dysplastic lumbar spondylolysis.

keywords: Hyperventilation; Spondylolysis; Pars; Pain; Mechanoreceptor