Degenerative Lumbar Spondylolisthesis: An Epidemiological Perspective

Jacobsen, Søren; Sonne‐Holm, Stig; Rovsing, Hans; Monrad, Henrik; Gebuhr, Peter

doi:10.1097/01.brs.0000250979.12398.96

Cited by 266 publications

(225 citation statements)

References 24 publications

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“…As in Cotonou it was 58.6 ± 9.5 years (30 to 77 years), Tagbor et al [15] reported peak at 54 years old in Togo, whereas Bejia et al [18] in Tunisia reported a middle age of 57.9 ± 9.5 years. These findings suggest that degenerative etiology of spondylolisthesis begins in middle age as previously respectively reported by Denard et al [19] and Jacobsen et al [20].…”

Section: Discussionsupporting

confidence: 87%

Epidemiology and Morphological Hallmark in Symptomatic Spondylotic Beninese Patients

J¹,

Madougou²,

Oladjo³

et al. 2017

JHS

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Spondylolisthesis is a well-known neurosurgical condition, in relation with various factors. The main objective was to report the morphological and radiological hallmark of patients presenting with symptomatic spondylolisthesis. This is a prospective, longitudinal, descriptive and analytical study: 1st April to 30th September 2014. Twenty nine patients were followed up, with female ascendance. The average age is 50 to 69 years. The most frequent level was L4-L5 and in most cases, only one level was involved. Lesions of Grade I were commonest (79.0%). The average values of the SS (sacral slope) and PI (pelvic incidence) was respectively 36.4 ± 6.9° (17.3° to 49.6°) with a median of 37.8° and 64.9 ± 9.2° (42.98° to 87.47°) with a median of 64.6°. LL (lumbar lordosis), had a mean value of 43.8 ± 10.8° (26.2° to 67.0°) with a median of 43.1°. DH (disc height) was 5 to 10 mm in most cases. A report was made with the morphology of the basin of the African woman. Our results are consistent for the most part with the literature data. This present study illustrates a female to male ration of 3. According to BMI (body mass index) assessment, 69% of patients presented with overweight. The main radiologic parameters are compromised with increasing sacral slop and PI and reduction of DH and LL. Findings are characteristic in female population.

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Section: Discussionsupporting

confidence: 87%

Epidemiology and Morphological Hallmark in Symptomatic Spondylotic Beninese Patients

J¹,

Madougou²,

Oladjo³

et al. 2017

JHS

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“…It is characterized by displacement of one vertebral body over another due to disc degeneration and facet arthropathy, most commonly combined with various degrees of spinal canal stenosis and/or recessal stenosis at the affected level [18]. LDS occurs most frequently at the level of L4/5 and is more common in women and patients over 60 years of age [1,6]. The resulting symptoms are usually a combination of stenotictype radiating buttock and leg pain (LP) and mechanical low back pain (LBP).…”

Section: Introductionmentioning

confidence: 99%

To fuse or not to fuse in lumbar degenerative spondylolisthesis: do baseline symptoms help provide the answer?

et al. 2011

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Introduction Clinical symptoms in lumbar degenerative spondylolisthesis (LDS) vary from predominantly radiating pain to severe mechanical low back pain. We examined whether the outcome of surgery for LDS varied depending on the predominant baseline symptom and the treatment administered [decompression with fusion (D&F) or decompression alone (D)]. Methods 213 consecutive patients (69 ± 9 years; 155f, 58 m) participated. Inclusion criteria were LDS, maximum three affected levels, no previous surgery at the affected level, and D (N = 56) or D&F (N = 157) as the operative procedure. Pre-op and at 12 months' follow-up (FU), patients completed the multidimensional Core Outcome Measures Index (COMI) including 0-10 leg-pain (LP) and LBP scales. At 12 months' FU, patients rated global outcome which was then dichotomised into ''good'' and ''poor''. Results Pre-operatively, LBP and COMI scores were significantly worse (p \ 0.05) in the D&F group than in the D group. The improvement in COMI at 12 months' FU was significantly greater for D&F than for D (p \ 0.001) and was not influenced by the patient's declared ''main problem'' at baseline (back pain, leg pain, or neurological disturbances) (p [ 0.05). There was a higher proportion (p = 0.01) of ''good'' outcomes at 12 months' FU in D&F (86%) than in D (70%). Multiple regression analysis, controlling for possible confounders, revealed treatment group to be the only significant predictor of outcome (adding fusion = better outcome). DiscussionOur study indicated that LDS patients showed better patient-based outcome with instrumented fusion and decompression than with decompression alone, regardless of baseline symptoms. This may be due to the fact that the underlying slippage as the cause of the stenosis is better addressed with fusion.

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“…There are various reports on the prevalence of spondylolisthesis in different communities. The prevalence among females ranges from 6% in Taiwan to 25% in the US, and among males, from 3% in Taiwan to 31% in the US (6,(10)(11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Frequency Evaluation of Early Pregnancy in Spondylolisthesis: A Cross Sectional Study on Iranian Females

et al. 2018

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Background: Spondylolisthesis is a common skeletal disorder that is rather prevalent among human beings occurring at various areas of spinal cord particularly with higher prevalence in lumbosacral area. There are several risk factors contributing to the occurrence of spondylolisthesis especially in the lumbosacral area including multiple pregnancies, early age pregnancy, etc. The current study aimed at investigating the pregnancy history of females afflicted with spondylolisthesis and probing the relationship of such factors with spondylolisthesis. Methods: Females with low back pain, afflicted with spondylolisthesis, and diagnosed based on the medical scanning were included in the study. The exclusion criteria comprised affliction with acute diseases, rheumatologic diseases such as rheumatoid arthritis, and history of direct trauma to their cords. The patients were then, examined and the related questionnaires were filled in by the authors. The results were analyzed using SPSS version 20.0. Results: A total of 113 females with the mean age of 53.79 (SD = 10.79) years were studied; 74.3 % of the patients had a history of pregnancy prior to 20 years old. The spondylolisthesis most commonly observed in L4-L5 intervertebral area (49.6%), and grade I had the highest frequency (82.3%). Conclusions: Early age and multiple pregnancies were considered important risk factors increasing the likelihood of developing spondylolisthesis. Provision of appropriate education about time for the first pregnancy and number of pregnancies, training, and raising public awareness can help to reduce this risk factor.

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Degenerative Lumbar Spondylolisthesis: An Epidemiological Perspective

Abstract: BMI longitudinally and at index evaluations, age, and angle of lordosis were significantly associated with degenerative spondylolisthesis in women. In men, no individual risk factors for degenerative spondylolisthesis were found, save increased age.

Cited by 266 publications

References 24 publications

Epidemiology and Morphological Hallmark in Symptomatic Spondylotic Beninese Patients

Epidemiology and Morphological Hallmark in Symptomatic Spondylotic Beninese Patients

To fuse or not to fuse in lumbar degenerative spondylolisthesis: do baseline symptoms help provide the answer?

Frequency Evaluation of Early Pregnancy in Spondylolisthesis: A Cross Sectional Study on Iranian Females

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