Bilateral C6 Spondylolysis With Spondylolisthesis in 3 Adolescent Siblings

Kushare, Indranil; Colo, Dino; Kadhim, Muayad; Dormans, John P.

doi:10.1097/bpo.0000000000000175

Cited by 4 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The etiology of cervical spondylolysis has not been established. It has been widely accepted that congenital cause is the predominate theory [ 6 , 7 ]. Cervical spondylolysis can occur in all subaxial levels [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…In most of the cases in the literature, conservative treatments have been adopted to relieve the symptoms, including cervical collar, oral NSAIDs, and rehabilitation methods [ 16 , 17 ]. However, when there was instability on imaging or clinical neurologic deficits, and failure of conservative measures, surgical management was often required [ 6 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Successful Treatment of Cervical Spondylolysis with Grade-II Spondylolisthesis using Single-Level ACDF: A Case Report

Qi,

Wang

2024

Am J Case Rep

View full text Add to dashboard Cite

Rare coexistence of disease or pathology Background:Cervical spondylolysis with spondylolisthesis is a rare disorder. According to previous reports, the spondylolisthesis is usually Meyerding Grade I, with only a limited number of cases receiving surgical treatment. We hereby report a special case of cervical spondylolysis with Grade-II spondylolisthesis, treated with single-level anterior cervical discectomy and fusion (ACDF), and present a literature review related to this problem. Case Report:Here, we report the case of a 52-year-old man who complained of posterior neck pain and numbness of the bilateral upper limbs. Radiological examination showed bilateral spondylolysis of the C6 and Meyerding Grade-II spondylolisthesis of C6 on C7 with instability. The patient underwent a single-level C6/C7 ACDF surgery. The symptoms of neck pain and bilateral upper-limb numbness were relieved immediately after surgery. The immediate postoperative radiological examination showed successful restoration of sagittal alignment. At 3-month follow-up, the patient had returned to normal life without any symptoms. At 2-year follow-up, computed tomography showed that C6-C7 fusion had been achieved and alignment was maintained. Conclusions:Cervical spondylolysis, as an uncommon spinal disorder, has been regarded as a congenital abnormity, and has unique radiological characteristics. For most of the cases with cervical spondylolysis, even with Grade-II spondylolisthesis, single-level ACDF can achieve good clinical and radiological outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Successful Treatment of Cervical Spondylolysis with Grade-II Spondylolisthesis using Single-Level ACDF: A Case Report

Qi,

Wang

2024

Am J Case Rep

View full text Add to dashboard Cite

show abstract

“…Современные исследователи, изучая спондилолиз, традиционно придерживаются двух основных теорий его происхождения и развития: врожденной [9,16,17] и приобретенной [18][19][20][21][22]. Основоположником теории о врожденном происхождении принято считать Ф.л.…”

Section: материал и методыunclassified

“…Kushare с соавторами, посвященное двустороннему спондилолизу cVI позвонка у трех родных братьев. Заболевание у них было расценено как семейная форма патологии позвоночника, у всех протекало без неврологического дефицита и хорошо купировалось консервативной терапией [17]. В то же время а.В.…”

Section: материал и методыunclassified

“…В литературе есть сообщения о случаях диагностики спондилолиза на других цервикальных уровнях, в частности в дугах cIV, cV и cVII позвонков, являющихся следствием врожденного происхождения [17,41].…”

Section: материал и методыunclassified

See 1 more Smart Citation

Isolated and Multilevel Spondylolysis (Literature Review)

Скрябин¹

2019

Traumatology and Orthopedics of Russia

View full text Add to dashboard Cite

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.

show abstract