Lomber spondilolistezis saptanan hastaların radyolojik ve klinik verilerinin karşılaştırılması

Abstract

Background: Spondylolisthesis is a deformity in which the upper segment is displaced anteriorly or posteriorly in the spine relative to the lower segment. In this pathology, which often causes instability, surgical treatment may be required. Also, patient’s radiological images should be evaluated carefully before treatment. We aimed to analyze clinical and radiological data with spinopelvic angles of the lumbar spondylolisthesis patients in our research.
 
 Material Method: 6593 patients who applied to the neurosurgery outpatient clinic with complaints of low back pain between January 2020 - December 2023 were retrospectively analyzed. The radiological findings of patients with spondylolisthesis, whose lumbar MRI and lumbar CT were obtained appropriately along with X-ray were evaluated in detail. Age, gender, listhesis level and degree, Cobb angle, pelvic incidence, pelvic tilt, sacral slope angle, Modic degeneration, vacuum phenomenon, annulus rupture, schmorl nodule, facet hypertrophy, osteophyte, maximum AP central canal diameter and joint lysis has been examined in these patient tests. The relationships of these data with each other were evaluated statistically.
 
 Results: 58 female and 5 male patients were found to be eligible for the study. Mean age was 59 (min 22, max 81). Grade 1 listhesis was detected in 52 of the patients. Listhesis was observed at the level of L5-S1 in 31 patients, L4-L5 in 24 patients and L3-L4 in 8 patients. A direct correlation was found between age with vacuum phenomenon, osteophyte, presence of L5-S1 listesis and lysis. Similar correlation was between pelvic incidence with sacral slop angle, facet hypertrophy and modic type 2 degeneration. Also, there was a direct correlation between pelvic incidence with pelvic tilt; between facet hypertrophy with vacuum phenomenon and lysis; ligamentum hypertrophy with vacuum phenomenon; and facet hypertrophy with lower level listesis (p 0.05).
 
 Discussion and Conclusion: Spondylolisthesis is an important problem that requires treatment in spine surgery. Radiologically determined parameters can give important findings about the severity of this pathology. These findings should be taken into consideration in the treatment of spondylolisthesis.