Prevalence of Lumbar Spondylolisthesis in Middle‐Aged People in Beijing Community

He, Da; Li, Zuchang; Zhang, Tianyu; Cheng, Xiaoguang; Tian, Wei

doi:10.1111/os.12871

Cited by 14 publications

(17 citation statements)

References 16 publications

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“…The incidence of spondylolisthesis in the middle-aged population reaches 17%, of which retrolisthesis accounts for the majority. 19 A series of studies have shown that retrolisthesis may be present in up to 30% of chronic low back pain patients. 20 However, the systematic study of retrolisthesis is insufficient due to its special type and less incidence of lumbar spinal stenosis.…”

Section: Retrolisthesismentioning

confidence: 99%

Nomograms for Predicting Recurrent Herniation in PETD with Preoperative Radiological Factors

Zhao¹,

Zhang²,

Wang³

et al. 2021

JPR

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To investigate the preoperative radiological risk factors for recurrent lumbar disc herniation (rLDH) within 1 year after percutaneous endoscopic transforaminal discectomy (PETD). Patients and Methods: A retrospective case-control study was conducted. Between January 2013 and November 2019, a total of 1210 patients with single-level L4/5 LDH who underwent PETD were enrolled in the present study. In total, 62 rLDH patients were diagnosed and collected based on the clinical and radiological manifestations, and 224 non-rLDH controls were selected from the remaining 1148 patients. Preoperative radiological parameters were collected and measured. An age threshold to distinguish patients into subgroups was established using the Youden index. The relationships between the risk factors and rLDH were evaluated by univariate and multivariate analyses in two subgroups. Predictive models were established based on logistic analysis. The area under the curve (AUC) of receiver operating characteristic (ROC) curves, calibration plots, and decision curve analysis (DCA) were used to assess the predictive models. Results: In the present study, logistic analysis identified six significant predictors associated with rLDH in the young group: superior endplate concave angle (ECA), sacral slope, Modic changes, sagittal range of motion (sROM), extension intervertebral angle (IVA), and lumbar lordosis. Four significant predictors were identified in the elderly group: disc height index (DHI), retrolisthesis (posterior spondylolisthesis), sROM, and extension IVA. Validation of both models demonstrated excellent model discrimination (AUC= 0.940 and 0.946, respectively). DCA also showed excellent clinical utility and benefits. Conclusion:The nomograms that we constructed could accurately predict individual patient recurrence risk. Individualized measures should be taken for patients of different ages with the above risk factors, and tailored postoperative surveillance of patients who underwent PETD can be planned.

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Section: Retrolisthesismentioning

confidence: 99%

Nomograms for Predicting Recurrent Herniation in PETD with Preoperative Radiological Factors

Zhao¹,

Zhang²,

Wang³

et al. 2021

JPR

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“…Degenerative spondylolisthesis commonly occurs at L4/5, rather than L3/4, while spondylolytic spondylolisthesis commonly occurs at L5/S1. 36 37 38 However, diagnosis has no significant correlation between postoperative SL changes as seen in Table 1 . Furthermore, although the increased SL group had more L4/5 patients than L3/4 patients (94.1% vs. 5.9%), the decreased group also had more L4/5 patients (71.4%) than L3/4 patients (28.6%).…”

Section: Discussionmentioning

confidence: 98%

What Affects Segmental Lordosis of the Surgical Site after Minimally Invasive Transforaminal Lumbar Interbody Fusion?

2022

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Purpose This study was undertaken to identify factors that affect segmental lordosis (SL) after minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) by comparing patients whose postoperative SL increased with those whose decreased. Materials and Methods Fifty-five patients underwent MIS-TLIF at our institute from January 2018 to September 2019. Demographic, pre- and postoperative radiologic, and cage-related factors were included. Statistical analyses were designed to compare patients whose SL increased with decreased after surgery. Results After surgery, SL increased in 34 patients (group I) and decreased in 21 patients (group D). The index level, disc lordosis, SL, lumbar lordosis, proximal lordosis (PL), and Y-axis position of the cage (Yc) differed significantly between groups I and D. The cage in group I was more anterior than that in group D (Yc: 55.84% vs. 51.24%). Multivariate analysis showed that SL decreased more significantly after MIS-TLIF when the index level was L3/4 rather than L4/5 [odds ratio (OR): 0.46, p =0.019], as preoperative SL (OR: 0.82, p =0.037) or PL (OR: 0.68, p =0.028) increased, and as the cage became more posterior (OR: 1.10, p =0.032). Conclusion Changes in SL after MIS-TLIF appear to be associated with preoperative SL and PL, index level, and Yc. An index level at L4/5 instead of L3/4, smaller preoperative SL or PL, and an anterior position of the cage are likely to result in increased SL after MIS-TLIF.

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“…Although some authors consider conservative or chiropractic management to be viable options [2][3], the majority of studies show that decompression plus fusion is the best course of treatment with better clinical and radiological outcomes, though the surgical techniques that can be used to treat high-grade lumbar spondylolisthesis are still being debated [3][4][10][11][12]. Some authors have demonstrated favorable results with the modified Bohlman and reverse Bohlman technique for the treatment of high-grade spondylolisthesis [4].…”

Section: Discussionmentioning

confidence: 99%

“…Depending on the direction of the translation, it is classified as anterolisthesis (anterior displacement) or retrolisthesis (posterior displacement) which occurs with or without pars interarticularis fracture [1][2][3][4]. According to the literature, the segment most affected by degenerative anterolisthesis is L4-L5, and it occurs more frequently in women than in men [3]. However, high-grade listhesis is more common at the L5-S1 level [3].…”

Section: Introductionmentioning

confidence: 99%

“…According to the literature, the segment most affected by degenerative anterolisthesis is L4-L5, and it occurs more frequently in women than in men [ 3 ]. However, high-grade listhesis is more common at the L5-S1 level [ 3 ]. The physiological curves of the vertebral column are very important as they absorb the forces of both physiological and pathological stress and also serve as a lever, thus protecting the spinal cord and nerve tissue [ 2 - 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Degenerative Grade 3 Spondylolisthesis Management: A Case Report and Literature Review

Musa¹,

Castillo²,

Slabov³

et al. 2022

Cureus

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Degenerative spine disorders are very common in the aging population. Degenerative spondylolisthesis is a relatively uncommon cause of chronic back pain in these patients. We present a case of high-grade spondylolisthesis managed with posterior lumbar interbody fusion (PLIF) and reduction of the listhesis with excellent results. A 56-year-old woman presented with chronic lower back pain managed as an outpatient for over 5 months with no relief. She had no history of trauma or risk factors for malignancy. Lumbosacral CT showed Meyerding grade 3 anterolisthesis of the fifth lumbar vertebra with complete L5-S1 disc collapse and bilateral spondylolysis. An MRI confirmed the findings. There was no spinal canal stenosis. The patient was managed with L4-L5-S1 transpedicular fixation and L5-S1 interbody cage with reduction of the listhesis. The patient had an incidental intraoperative dural tear which was repaired primarily and a wound drain was kept for 5 days without complications. The patient was ambulating by day 5 and was discharged without complications on day 10. Degenerative spondylolisthesis can cause chronic back pain with or without a history of trauma. Although no specific clinical features exist for this condition, it should be suspected in elderly patients even in the absence of a history of trauma. Surgical management in high-grade spondylolisthesis is indicated with interbody fixation and reduction.

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Prevalence of Lumbar Spondylolisthesis in Middle‐Aged People in Beijing Community

Cited by 14 publications

References 16 publications

Nomograms for Predicting Recurrent Herniation in PETD with Preoperative Radiological Factors

Nomograms for Predicting Recurrent Herniation in PETD with Preoperative Radiological Factors

What Affects Segmental Lordosis of the Surgical Site after Minimally Invasive Transforaminal Lumbar Interbody Fusion?

Degenerative Grade 3 Spondylolisthesis Management: A Case Report and Literature Review

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