Spondylolisthesis with Hamstring Spasticity

Harnach, Z; Gotfryd, O; Baudyšová, Jitka

doi:10.2106/00004623-196648050-00005

Cited by 9 publications

(2 citation statements)

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“…The mechanism that produces the hamstring spasm is not well understood, but hamstring tightness may certainly accompany any irritative lesion of the spinal nerve roots [10]. Spondylolisthesis and hamstring tightness are reported to occur together and are referred to as a syndrome in the literature [1,4,10,11,12]. Case reports and case series on tight hamstrings are summarized in Table 1.…”

Section: A Atalay a Akbay B Atalay N Akalanmentioning

confidence: 99%

Lumbar disc herniation and tight hamstrings syndrome in adolescence

et al. 2003

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Background: Lumbar intervertebral disc herniation is infrequently encountered in children and adolescents. Additional signs and symptoms such as postural deformities and abnormal gait accompany the classical findings of lumbar root irritation. These unusual signs have been described in the literature as "tight hamstrings syndrome". Waddling gait with flexed knees is considered as pathognomonic for this condition and may be masked by the signs of root irritation due to prolapsed intervertebral disc material. Case report and discussion: We report an adolescent patient with lumbar disc herniation in whom gait abnormality and limitation of lumbar movements persisted after surgical intervention. A review of the literature on tight hamstrings is presented.

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Section: A Atalay a Akbay B Atalay N Akalanmentioning

confidence: 99%

Lumbar disc herniation and tight hamstrings syndrome in adolescence

et al. 2003

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“…Harnach et al 14 reported on a single case of a grade II spondylolisthesis in a 10-year-old girl who presented to their institution with an abnormal gait and limitation of lumbar flexion associated with “hamstring spasticity.” The patient was initially treated with an anterior fusion at the lumbosacral junction. Despite a sound radiologic fusion the patient continued to have an abnormal gait and limitation of hip and knee extension and a restricted straight leg raise.…”

Section: Discussionmentioning

confidence: 99%

Preoperative and Postoperative, Three-dimensional Gait Analysis in Surgically Treated Patients With High-grade Spondylolisthesis

Trivedi

Srinivas²,

Trivedi

et al. 2020

Journal of Pediatric Orthopaedics

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Background: High-grade spondylolisthesis (HGS) (Myerding grade III-V) in adolescents can lead to a marked alteration of gait pattern and maybe the presenting symptom in these patients. This characteristic gait pattern in patients with HGS has been referred to as the “pelvic waddle.” Modern 3-dimensional (3D) gait analysis serves an important tool to objectively analyze the different components of this characteristic gait preoperatively and postoperatively and is an objective measure of postoperative improvement. This study demonstrates the use of 3D gait analysis preoperatively and postoperatively in a cohort of 4 consecutive patients with HGS treated surgically at a single tertiary referral center and utilize this to objectively evaluate outcome of surgical treatment in these patients. This has not been reported previously in a cohort of patients. Methods: This is a prospective analysis of patients with HGS who underwent surgical intervention for spondylolisthesis at a single institution. Patient demographics, clinical, and radiologic assessment were recorded, and all patients underwent 3D gait analysis before and after surgical intervention. Kinetic, kinematic, and spatial parameters were recorded preoperatively and postoperatively for all patients. This allowed the outcome of change in gait deviation index, before and after surgical treatment, to be evaluated. Results: We were able to review complete records of 4 adolescent patients who underwent surgical treatment for HGS. Mean age at surgery was 13.5 years with a minimum follow-up of 2.5 years postoperatively (average 40 mo). Preoperative gait analysis revealed marked posterior pelvic tilt in 2 patients, reduced hip and knee extension in all 4 patients and external foot progression in 3 of the 4 patients. Along with an observed improvement in gait, there was an objective improvement in gait parameters postoperatively in all 4 patients. Gait deviation index score improved significantly from 78.9 to 101.3 (mean). Conclusions: Preoperative gait abnormalities exist in HGS and can be objectively analyzed with gait analysis. Surgical intervention may successfully resolve these gait abnormalities and gait analysis is a useful tool to assess the outcome of surgery and quantify an otherwise intangible benefit of surgical intervention. Level of Evidence: Level IV—case series.

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Complete Spondylolisthesis in an Infant

Finnegan¹,

Chung²

1975

Am J Dis Child

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\s=b\A grade 4 spondylolisthesis at the level of L-4 and L-5 was detected in a 3\ x =r eq-\ year-old girl who had a spastic gait and focal sensory deficit. There was no history or objective evidence of substantial spinal trauma. A deformity over the lower part of the spine had been noted at 1 year of age and the radiological lesion was more extensive than that found in classical spondylolysis. Consequently, a diagnosis of congenital spondylolisthesis is most acceptable. Treatment via combined posterior and posterolateral fusion following anterior decompression has yielded gratifying results.(Am J Dis Child 129: [967][968][969] 1975) A lthough spondylolisthesis has been ±\. well described119 in children, only isolated cases have been re¬ ported involving children less than 5 years of age.16 Kleinberg3 described the lesion in a 17-month-old child, Friberg2 in a 10-

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Spondylolisthesis with Hamstring Spasticity

Cited by 9 publications

References 0 publications

Lumbar disc herniation and tight hamstrings syndrome in adolescence

Lumbar disc herniation and tight hamstrings syndrome in adolescence

Preoperative and Postoperative, Three-dimensional Gait Analysis in Surgically Treated Patients With High-grade Spondylolisthesis

Complete Spondylolisthesis in an Infant

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