Lumbar Olisthesis and Lower Back Symptoms in Elderly White Women

Vogt, Molly T.; Rubin, David A.; Valentin, Ria San; Palermo, Lisa; Donaldson, William F.; Nevitt, M.; Cauley, Jane A.

doi:10.1097/00007632-199812010-00020

Cited by 97 publications

(90 citation statements)

References 25 publications

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“…No gender differences were observed. Segmental instability in the lumbar spine, often defined as greater than 3 mm of translation in the AP direction [15,16], is considered to be abnormal and has been associated with lower back pain and sciatica [1]. MRI studies of the lumbar spine have indicated that even small changes in translational motion are correlated with disc degeneration.…”

Section: Discussionmentioning

confidence: 99%

Kinetic magnetic resonance imaging analysis of lumbar segmental mobility in patients without significant spondylosis

et al. 2012

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Purpose The purpose of this study was to examine lumbar segmental mobility using kinetic magnetic resonance imaging (MRI) in patients with minimal lumbar spondylosis. Methods Mid-sagittal images of patients who underwent weight-bearing, multi-position kinetic MRI for symptomatic low back pain or radiculopathy were reviewed. Only patients with a Pfirrmann grade of I or II, indicating minimal disc disease, in all lumbar discs from L1-2 to L5-S1 were included for further analysis. Translational and angular motion was measured at each motion segment. Results The mean translational motion of the lumbar spine at each level was 1.38 mm at L1-L2, 1.41 mm at L2-L3, 1.14 mm at L3-L4, 1.10 mm at L4-L5 and 1.01 mm at L5-S1. Translational motion at L1-L2 and L2-L3 was significantly greater than L3-4, L4-L5 and L5-S1 levels (P \ 0.007). The mean angular motion at each level was 7.34°at L1-L2, 8.56°at L2-L3, 8.34°at L3-L4, 8.87°a t L4-L5, and 5.87°at L5-S1. The L5-S1 segment had significantly less angular motion when compared to all other levels (P \ 0.006). The mean percentage contribution of each level to the total angular mobility of the lumbar spine was highest at L2-L3 (22.45 %) and least at L5/S1 (14.71 %) (P \ 0.001). Conclusion In the current study, we evaluated lumbar segmental mobility in patients without significant degenerative disc disease and found that translational motion was greatest in the proximal lumbar levels whereas angular motion was similar in the mid-lumbar levels but decreased at L1-L2 and L5-S1.

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Section: Discussionmentioning

confidence: 99%

Kinetic magnetic resonance imaging analysis of lumbar segmental mobility in patients without significant spondylosis

et al. 2012

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“…The literature has found a possible association between retrolisthesis and increased back pain and impaired back function. [1][2][3][4] Retrolisthesis may occur more commonly than initially believed. Series have shown that retrolisthesis may be present in up to 30% of extension radiographs of patients complaining of chronic low back pain.…”

Section: Introductionmentioning

confidence: 99%

Retrolisthesis and lumbar disc herniation: a preoperative assessment of patient function

Shen¹,

Bowman²,

Lurie³

et al. 2007

The Spine Journal

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“…This sagittal orientation facilitates vertebral slippage when the other predisposing factors are present. Because of these abnormalities and the preponderance of coronal orientation of the L5-S1 facet joints, the majority of degenerative spondylolisthesis occurs at the L4-5 level [8].…”

Section: Pathomechanismsmentioning

confidence: 99%

Degenerative lumbar intervertebral instability: what is it and how does imaging contribute?

Leone¹,

Cassar‐Pullicino

Guglielmi

et al. 2009

Skeletal Radiol

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Lumbar Olisthesis and Lower Back Symptoms in Elderly White Women

Abstract: Anterolisthesis of 3 mm or more in the lower lumbar spine is relatively common among elderly women but is not correlated with back problems. Retrolisthesis at L3-L4 is associated with increased back pain and impaired back function.

Cited by 97 publications

References 25 publications

Kinetic magnetic resonance imaging analysis of lumbar segmental mobility in patients without significant spondylosis

Kinetic magnetic resonance imaging analysis of lumbar segmental mobility in patients without significant spondylosis

Retrolisthesis and lumbar disc herniation: a preoperative assessment of patient function

Degenerative lumbar intervertebral instability: what is it and how does imaging contribute?

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