Spondylolysis and Spondylolisthesis

Niggemann, Pascal; Kuchta, Johannes; Beyer, Hans–Konrad; Grosskurth, D.; Schulze, Thorsten; Delank, Karl‐Stefan

doi:10.1097/brs.0b013e3181d47a0e

Cited by 37 publications

(20 citation statements)

References 14 publications

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“…Patients who present with long-term intractable pain and complain that their condition interferes with their daily living activities or even persisting while at rest are usually treated surgically. Some researchers also emphasize performing dynamic flexion-extension views in symptomatic patients with spondylolysis and spondylolisthesis and believe those patients with more than 3 mm sagittal instability or 6° a ngular instability should have surgery [ 38 ]. In Fig.…”

Section: Spondylolisthesismentioning

confidence: 99%

Lumbar Spondylolysis and Spondylolytic Spondylolisthesis: Who Should Be Have Surgery? An Algorithmic Approach

2014

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Lumbar spondylolysis and spondylolisthesis are common spinal disorders that most of the times are incidental findings or respond favorably to conservative treatment. In a small percentage of the patients, surgical intervention becomes necessary. Because too much attention has been paid to novel surgical techniques and new modern spinal implants, some of fundamental concepts have been forgotten. Identifying that small but important number of patients with lumbar spondylolysis or spondylolisthesis who would really benefit from lumbar surgery is one of those forgotten concepts. In this paper, we have developed an algorithmic approach to determine who is a good candidate for surgery due to lumbar spondylolysis or spondylolisthesis.

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Section: Spondylolisthesismentioning

confidence: 99%

Lumbar Spondylolysis and Spondylolytic Spondylolisthesis: Who Should Be Have Surgery? An Algorithmic Approach

2014

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“…Furthermore, it may occur, perhaps to a greater degree, in patients with a single spinal pathology or multiple co-existing spinal pathologies. In studies of patients with pre-existing pathology, the structural causes of DCSA reduction were mostly attributed to the extension of the lumbar spine in the setting of spinal stenosis [44].…”

Section: Clinical Significance Of Outcome Measuresmentioning

confidence: 99%

Weight-Bearing Magnetic Resonance Imaging as a Diagnostic Tool That Generates Biomechanical Changes in Spine Anatomy

Griepp

Lee

Davati

et al. 2020

Cureus

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“…Inclusion criteria of the study were as follows: (1) age 18 years or older at the time of hospitalization; (2) de nite diagnosis of single-level L4 or L5 IS (anterior slippage of the vertebral body in more than 5% of cases associated with spondylolysis of the pars interarticularis); (3) complete imaging data including standing lateral lumbar X-ray lms and lumbar magnetic resonance imaging (MRI). Exclusion criteria were as follows: (1) a history of previous spinal surgery, trauma or infection; (2) accompanying with spinal tumor, multilevel spondylolysis, unilateral pars defect, scoliosis, or lumbosacral transitional vertebra.…”

Section: Patientsmentioning

confidence: 99%

“…Spondylolysis is characterized as a defect in the bilateral pars interarticularis of the vertebral arch and can be caused by genetic factors, trauma, and repetitive exercise [1]. Isthmic spondylolisthesis (IS), a complication of spondylolysis, is de ned by the anterior slippage of one vertebra with a defect in bilateral pars interarticularis over the next caudal one [2]. The main clinical symptoms of IS are back pain, sciatica and/or intermittent claudication.…”

Section: Introductionmentioning

confidence: 99%

Straighter low lumbar curvature in isthmic spondylolisthesis at L4

Zheng

Zhong

Zhu

et al. 2020

Preprint

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Abstract Background: This study was conducted to compare differences in imaging features and clinical symptoms between patients with single-level isthmic spondylolisthesis (IS) at L4 and at L5 and to investigate the correlation between imaging and clinical parameters. Methods: This cross-sectional study evaluated patients with single-level IS who were enrolled between June 2011 and June 2018. A total of 139 patients, 44 in the L4 IS group and 95 in the L5 IS group, met the study criteria and were included. Imaging and clinical parameters obtained from the two groups were compared and analyzed.Results: Patients in the L4 IS group had smaller lower lumbar lordosis (LLL) (27.1 ± 8.2 vs. 30.9 ± 9.3, P = 0.021) and were of older age (58.5 ± 8.7 vs. 52.8 ± 10.1, P < 0.01) than those in the L5 IS group. As per the Roussouly classification system, most patients with L4 IS were classified as Type 2 (43.2%), whereas most patients with L5 IS fell under Type 3 (44.2%). In the L5 IS group, pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL), and L5 incidence (L5I) were positively associated with slippage rate (SR), but the lumbosacral angle (LSA) was negatively associated with SR (P < 0.01). In the L4 IS group, only L5I showed a positive association with SR (P < 0.01). More significant associations were found among sagittal lumbo-pelvic parameters in the L5 IS group, but none were found between SR and Oswestry Disability Index (ODI) in either group.Conclusions: When compared with patients with L5 IS, patients with L4 IS were of older age and had straighter low lumbar curvature when they were obviously symptomatic. PI was an important parameter for patients with L5 IS while for those with L4 IS, L5I deserved more attention for its significantly positive correlation with the degree of slippage.

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Spondylolysis and Spondylolisthesis

Cited by 37 publications

References 14 publications

Lumbar Spondylolysis and Spondylolytic Spondylolisthesis: Who Should Be Have Surgery? An Algorithmic Approach

Lumbar Spondylolysis and Spondylolytic Spondylolisthesis: Who Should Be Have Surgery? An Algorithmic Approach

Weight-Bearing Magnetic Resonance Imaging as a Diagnostic Tool That Generates Biomechanical Changes in Spine Anatomy

Straighter low lumbar curvature in isthmic spondylolisthesis at L4

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