Multiple Levels of Lumbar Spondylolysis - A Case Report -

Park, Kwang Hwan; Ha, Joong-Won; Kim, Hak-Sun; Moon, Eun-Su; Moon, Seong-Hwan; Lee, Hwan Mo; Kim, Ho-Joong; Kim, Ju‐Young

doi:10.4184/asj.2009.3.1.35

Cited by 16 publications

(13 citation statements)

References 10 publications

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“…According to Kwang-Hwan Park et al, the incidence of multiple lumbar spondylolysis appears to vary between 1.2% to 5.6%. [10,11] In our study, multilevel spondylolysis was seen in 1.8%.…”

Section: Discussionsupporting

confidence: 45%

Evaluation of Incidental Lumbar Spondylolysis by Computed Tomography

Chellathurai¹,

Kannappan²,

Melba³

et al. 2018

jemds

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BACKGROUND Spondylolysis is defined as a defect in the pars interarticularis of the vertebral arch, which is a bony bridge connecting the superior and the inferior articular facet joints. Aims and Objectives: To determine the incidental occurrence of lumbar spondylolysis, the common site and type of involvement and the associated degenerative disorders in the patients in an unselected population. MATERIALS AND METHODS This is a cross-sectional study in which incidental spondylolysis was evaluated for 852 patients (462 females and 380 males) who underwent multidetector (16 slice) CT abdomen/ (Kidney Ureter Bladder) using bone and soft tissue algorithm. Overview of Literature-There are very less number of studies regarding the prevalence of incidental spondylolysis, the common site and the type of involvement in a developing country. RESULTS CT Abdomen/ KUB imaging showed higher prevalence of incidental lumbar spondylolysis. Most common level involved was L5 vertebra, the common type was isthmic. Age wise distribution of type of spondylolysis and grading of listhesis was significant. CONCLUSION CT Abdomen/ KUB imaging of an unselected Indian population showed higher prevalence of incidental lumbar spondylolysis. The prevalence of isthmic type is higher and its progression to spondylolisthesis increases with advancing age.

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“…According to Kwang-Hwan Park et al, the incidence of multiple lumbar spondylolysis appears to vary between 1.2% to 5.6%. [10,11] In our study, multilevel spondylolysis was seen in 1.8%.…”

Section: Discussionsupporting

confidence: 45%

Evaluation of Incidental Lumbar Spondylolysis by Computed Tomography

Chellathurai¹,

Kannappan²,

Melba³

et al. 2018

jemds

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“…If lumbar spondylolysis occurs in adolescents, conservative treatment is usually the first choice[ 8 ]. Clinical observation found that new onset spondylolysis may be cured by restricting lumbar spine movement with a brace[ 2 , 5 , 9 , 10 ]. A retrospective study showed that a union rate of conservative treatment in adolescents was 76%[ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of four segment lumbar spondylolysis: A case report

Li¹,

Peng²

2021

WJCC

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BACKGROUND Four-level lumbar spondylolysis is extremely rare. So far, only 1 case has been reported in the literature. CASE SUMMARY A 19-year-old man presented with severe back pain irresponsive to conservative therapies for 2 years. Lumbar radiographs and two-dimensional computed tomography scan showed four segment lumbar spondylolysis on both sides of L2-L5. Lumbar magnetic resonance imaging showed normal signal in all lumbar discs. Because daily activities were severely limited, surgery was recommended for the case. The patient underwent four-level bilateral isthmic repair at L2-L5. During surgery, L2-L5 isthmi were curetted bilaterally, freshened, and then grafted with autologous iliac bone that was bridged and compressed with a pedicular screw connected to a sub-laminar hook by a short rod. The symptoms of back pain almost disappeared. He has been followed-up for 96 mo, and his symptoms have never recurred. Fusion was found in all repaired isthmi 14 mo after surgery according to evaluation of lumbar radiography and computed tomography scan. CONCLUSION We report here 1 case of four-level lumbar spondylolysis that was treated successfully with direct isthmic repair.

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“…Мы обнаружили 14 публикаций зарубежных авторов, описывающих клинические случаи многоуровневого спондилолиза в общей сложности у 21 пациента различного возраста. При этом публикации 12 исследователей посвящены описанию всего лишь одного клинического случая патологии [2,16,23,28,39,45,65,73,74,[78][79][80]. Еще по одному автору описывают течение изучаемой патологии у пяти [70] и трех [18] Отдельно следует выделить клинические наблюдения c. Zhang с соавторами за 9 пациентами, у каждого из которых был диагностирован спондилолиз поясничных позвонков на двух уровнях и, как следствие, сформировавшийся на этих же уровнях спондилолистез.…”

Section: материал и методыunclassified

Isolated and Multilevel Spondylolysis (Literature Review)

Скрябин¹

2019

Traumatology and Orthopedics of Russia

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One of the main causes of lumbar spine pain is spondylolysis. The purpose of this review is to present the current state of the problem of diagnosis and treatment isolated and multilevel spondylolysis.Materials and Methods. The review includes 86 publications on the problem of spondylolysis for 2005–2019, obtained from electronic databases: PubMed, Cochrane Library, eLIBRARY, CYBERLENINKA.Results. There is still the only known classification of spondylolysis by P. Niggemann et al, which includes four severity of this pathology — from mild to very severe: A, BI, BII, BIII. The classification is based on the nature of changes in the area of bone defect of the vertebral arch when the patient performs functional tests. In some cases, the pathology can be regarded as a transition between different degrees of severity of type B. The treatment of spondylolysis can be both conservative and operational. The conservative therapy consists of physical activity restriction, physiotherapy, wearing a corset, massage, and pharmacotherapy. The purpose of surgical treatment is the removal of fibrous tissue from the zone of spondylolysis and the achievement in this area the bone fusion via a bone autoplasty and(or) osteosynthesis with different metal frameworks. Reasoned arguments about the need for a combination of conservative and surgical treatment of patients with spondylolysis are also reflected in the publications. Information on multilevel spondylolysis is represented by a small number of articles. only 15 authors described clinical cases of multilevel spondylolysis in a total of 21 patients. Spondylolysis is a high risk factor for the spondylolisthesis formation. Among the various categories of patients suffering from spondylolysis and lumbar spondylolysis spondylolisthesis, pregnant women are of particular interest. Hormonal restructuring and changes in the biomechanics of the spine in women during the gestational period often leads to the appearance or intensification pain syndrome in lumbar spine complicating the pregnancy, and hence a fetus development.Conclusion. Timely diagnosis of spondylolysis and the subsequent development of individual rehabilitation not only improves the quality of life of patients, but in some cases can prevent such a serious pathology as spondylolisthesis.

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Multiple Levels of Lumbar Spondylolysis - A Case Report -

Cited by 16 publications

References 10 publications

Evaluation of Incidental Lumbar Spondylolysis by Computed Tomography

Evaluation of Incidental Lumbar Spondylolysis by Computed Tomography

Surgical treatment of four segment lumbar spondylolysis: A case report

Isolated and Multilevel Spondylolysis (Literature Review)

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