Spondylolysis and isthmic spondylolisthesis of the lower lumbar vertebrae in children and adolescents

Скрябин, Е.Г.

doi:10.18019/1028-4427-2017-23-1-71-73

Cited by 2 publications

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“…В клинической картине спондилолиза преобладает болевой синдром поясничной локализации [31,61,62]. Боли при этом не являются обязательным симптомом заболевания [3,4]. Такие проявления вертебрального синдрома, как структуральные деформации, мышечный дефанс, нарушение функции, неврологические симптомы, как правило, отсутствуют или выражены не ярко [64,65].…”

Section: материал и методыunclassified

“…Проблема болевого синдрома в поясничном отделе позвоночника у пациентов различных возрастных групп продолжает сохранять свою актуальность [1][2][3][4][5][6]. Одной из частых причин болей в позвоночнике является спондилолиз (код по МКБ-10: М43.0) -дефект (одно-или двусторонний) межсуставной части дуги позвонка [7][8][9][10].…”

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Isolated and Multilevel Spondylolysis (Literature Review)

Скрябин¹

2019

Traumatology and Orthopedics of Russia

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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.

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Section: материал и методыunclassified

Section: Introductionunclassified

Isolated and Multilevel Spondylolysis (Literature Review)

Скрябин¹

2019

Traumatology and Orthopedics of Russia

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Spondyloptosis in children, adolescents and youth age patients

Скрябин

2022

Kazan Med J

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The study aimed to analyze scientific publications on Spondyloptosis in children, adolescents and youth age patients. The article analyzes 77 literary sources for the period from 1995 to 2021, presented in modern electronic databases of medical information: PubMed, CyberLeninka, eLibrary, Google Scholar. The analysis of scientific articles showed that many important issues related to spondyloptosis in children have not yet been resolved. For example, the disease incidence rate in children and adolescents is unknown. To date, an algorithm for choosing a method for surgical treatment in this category of patients has not been defined, the need and methods for reduction of a displaced LV vertebra remain debatable, the spinal fusion length is not scientifically justified, measures to prevent the appearance or exacerbation of neurological disorders have not been developed, there are no generally accepted clinical and radiation criteria for evaluating treatment outcomes. It is recognized that the severity of clinical manifestations of spondyloptosis is associated with the degree of spinal-pelvic imbalance. The range of surgical interventions is wide: from in situ fusion at the LVSI motion segment to 360 reconstruction with a change in the parameters of the lumbo-pelvic balance. Successful attempts are being made to introduce into clinical practice composite models of metal structures individually made on a 3D printer, specific to the spinal-pelvic balance of a particular patient. Many authors in their publications expressed that various aspects of LV spondyloptosis in children and adolescents require further study.

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Spondylolysis and isthmic spondylolisthesis of the lower lumbar vertebrae in children and adolescents

Cited by 2 publications

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Isolated and Multilevel Spondylolysis (Literature Review)

Isolated and Multilevel Spondylolysis (Literature Review)

Spondyloptosis in children, adolescents and youth age patients

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