Innervation of the Spondylolysis “Ligament”

Eisenstein, Stephen M.; Ashton, I. K.; Roberts, Sally; Darby, A. J.; Kanse, P; Menage, J.; Evans, Howard E.

doi:10.1097/00007632-199404150-00008

Cited by 41 publications

(17 citation statements)

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“…Although the exact etiology of LBP in patients with symptomatic spondylolysis and spondylolisthesis remains unclear, histologic studies have demonstrated that neural elements of the pars defect are capable of nociceptive function and may be a source of LBP. 43,44 As innervated structures within the motion segment and associated tissues are possible pain generators, multifactorial causes of LBP in patients with spondylolysis and spondylolisthesis have been suggested. 45 The mechanisms of LBP relief with FD are theorized to be both mechanical and neurologic in nature.…”

Section: Discussionmentioning

confidence: 99%

Chiropractic management of mechanical low back pain secondary to multiple-level lumbar spondylolysis with spondylolisthesis in a United States Marine Corps veteran: a case report

Dunn

Baylis

Ryan

2009

Journal of Chiropractic Medicine

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Conservative management is considered to be the standard of care for spondylolysis and should be explored in its various forms for symptomatic low back pain patients who present without neurologic deficits and with spondylolisthesis below grade III. The response to treatment for the veteran patient in this case suggests that lumbar flexion/distraction may serve as a safe and effective component of conservative management of mechanical low back pain for some patients with spondylolysis and spondylolisthesis.

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Section: Discussionmentioning

confidence: 99%

Chiropractic management of mechanical low back pain secondary to multiple-level lumbar spondylolysis with spondylolisthesis in a United States Marine Corps veteran: a case report

Dunn

Baylis

Ryan

2009

Journal of Chiropractic Medicine

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“…Over the last 20 years, both clinical surveys (Rossi & Dragoni, 1990;Hardcastle et al, 1992;Bonacina & Pessina, 1998) and biomechanical studies (Green et al, 1994;Inoue et al, 1998;Yamamoto et al, 1999) have continued, whereas further research has explored questions of ontogeny, morphology and adolescent growth of the pars area and the facet joints (Miyake et al, 1996;Ebraheim et al, 1997;Sagi et al, 1998), microstructural aspects of the defect and associated symptoms (Edelson & Nathan, 1986;Eisenstein et al, 1994;Schneidermann et al, 1995;Shipley & Beukes, 1998), the role of adjacent soft tissue structures in the development of the condition (Aihara et al, 2000) and its potential adaptive advantage (Merbs, 1996a;Axelsson et al, 2000).…”

Section: Historical Aspects Of the Studymentioning

confidence: 99%

Prevalence rates of spondylolysis in British skeletal populations

Fibiger

Knüsel

2005

Int. J. Osteoarchaeol.

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As an activity-related pathological lesion, spondylolysis and its prevalence rates are indicative of relative diachronic activity levels in different populations. In this paper we document the prevalence of spondylolytic defects in a series of time-successive populations with special reference to the recording methods employed, and compare the findings with modern clinical studies. We identify epidemiological trends in expression of the condition through 1500 years in a series of skeletonised human remains from England. This includes a 5th-6th-century settlement, a 15th-century mass grave, a 14th to 17th-century rural parish, a medieval Dominican friary, a medieval leper hospital and an 18th to 19th-century crypt collection. These skeletal populations sample human groups experiencing considerable social change from an agrarian, non-centralised early medieval period through the development of the medieval state to the earliest phases of industrialisation in England. A detailed study of all lumbar vertebrae in one of the assemblages highlights discrepancies between clinical prevalence rates for spondylolysis established through radiography, and those resulting from direct osteological analysis of the lumbar region of the vertebral column. Current prevalence rates cited in the osteological as well as the clinical literature are greatly dependent upon the recording methods employed, and the effects of several methods for osteological remains are considered in this treatment. For the populations reported on here, prevalence rates vary from considerably less than 1% to as much as 12%, depending on the method selected. A standardised recording method for spondylolytic lesions is suggested to facilitate accurate prevalence reporting and comparison of activity levels between different populations.

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“…This seems to be an assumption made by a number of commentators (e.g. Wiltse et al, 1975;Ciullo & Jackson, 1985;Eisenstein et al, 1994) in the wake of Fredrickson et al's study. If this is accepted as a generality, then the beginning of symptoms years after initial pars interarticularis fracture remains to be explained.…”

Section: Discussionmentioning

confidence: 88%

“…If this is accepted as a generality, then the beginning of symptoms years after initial pars interarticularis fracture remains to be explained. Perhaps increased muscular strength and activity at adolescence might lead to a peak in symptoms at this age due to greater strain being placed upon soft tissue (the 'spondylolysis ligament') which usually bridges across the fractured pars interarticularis (Eisenstein et al, 1994). Whether recourse to such explanations is necessary depends upon the extent to which the age patterns in the occurrence of spondylolysis identified by Fredrickson et al (1984) pertain more widely to other recent populations.…”

Section: Discussionmentioning

confidence: 99%

Spondylolysis in non‐adult skeletons excavated from a medieval rural archaeological site in England

Mays

2006

Intl J of Osteoarchaeology

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Spondylolysis is studied in a large series of non-adult skeletons, ranging in age at death from 28 weeks gestation to 18 years old, from the deserted medieval village of Wharram Percy. The aim is to shed light on the age of occurrence of the lesion. Among those with complete lumbar spines, the prevalence of spondylolysis is 0.7%. The prevalence in adults from this group is 12% with no age patterning. Age of occurrence of spondylolysis in this population is inferred generally to be during late adolescent or early adult life. This contrasts with a published study of a modern reference group, unselected for activity patterns or medical complaints, which reported that in most cases spondylolytic defects had already formed by 6 years of age. The Wharram Percy group appeared to resemble rather more the pattern seen today in those involved in strenuous activities, such as competitive sports, both in the relatively late age of occurrence of defects and in the eventual high prevalence. This may be consistent with the observation that, during adolescence, individuals in medieval rural communities were beginning to take on adult tasks which would have been physically strenuous. However, it is unclear why individuals from Wharram Percy did not also form defects in early childhood as modern children appear to. A late age of occurrence appears consistent with published data which suggest a paucity of cases in non-adults in British archaeological populations.

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Innervation of the Spondylolysis “Ligament”

Cited by 41 publications

References 0 publications

Chiropractic management of mechanical low back pain secondary to multiple-level lumbar spondylolysis with spondylolisthesis in a United States Marine Corps veteran: a case report

Chiropractic management of mechanical low back pain secondary to multiple-level lumbar spondylolysis with spondylolisthesis in a United States Marine Corps veteran: a case report

Prevalence rates of spondylolysis in British skeletal populations

Spondylolysis in non‐adult skeletons excavated from a medieval rural archaeological site in England

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