Spondylolysis and spondylolisthesis: a narrative review of etiology, diagnosis, and conservative management

Haun, Daniel W.; Kettner, Norman W.

doi:10.1016/s0899-3467(07)60153-0

Cited by 41 publications

(32 citation statements)

References 62 publications

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“…31 Some imaging modalities such as radionuclide scintigraphy (bone scan) and single-photon emission computed tomography can help in distinguishing symptomatic (active) from asymptomatic (inactive) spondylolysis. 1,32 A lesion of the pars in the active phase could be either an impending stress fracture or one that has recently occurred. In both cases, there is an increase in local osteoblastic activity and therefore the potential for osseous healing.…”

Section: Discussion Of Case Presentationmentioning

confidence: 99%

“…Isthmic spondylolisthesis is the most common type of spondylolisthesis in young adults. 1,2 Patients with spondylolisthesis complain of pain that starts as incidental and worsens with activity. Usually, the pain is exacerbated by repetitive extension, rotation, return from a flexed position, and sudden or trivial activities; and it is relieved by resting.…”

Section: Introductionmentioning

confidence: 99%

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Clinical presentation and physiotherapy treatment of 4 patients with low back pain and isthmic spondylolisthesis

Ferrari¹,

Vanti²,

O’Reilly³

2012

Journal of Chiropractic Medicine

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Objective: Spondylolisthesis is a pathological condition characterized by the slipping of a vertebral body, compared with the underlying one, following structural and/or degenerative changes of the spine. The purpose of this case series is to describe clinical presentations and the conservative physiotherapy management of 4 patients with low back pain and lumbar isthmic spondylolisthesis. Clinical Features: Four patients aged 25, 43, 36, and 50 years presented with low back pain of various duration. Radiographs confirmed the presence of lumbar isthmic spondylolisthesis. Outcome measures included numerical rating scale, disability outcome measure (Oswestry Disability Index), spinal instability tests (Prone Instability Test, Passive Lumbar Extension test), and muscle function tests (Aberrant Movement Patterns, Active Straight Leg Raising, Prone and Supine Bridge Tests). Intervention and Outcomes: Treatment consisted of postural reeducation, stretching, and strengthening exercises. Over the course of individualized treatment, ranging from 8 to 10 treatment visits, outcomes improved for all 4 patients. Conclusion: This report describes varying clinical presentations and treatment of 4 patients with isthmic spondylolisthesis, suggesting that different pain generators could be managed by different conservative approaches.

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Section: Discussion Of Case Presentationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical presentation and physiotherapy treatment of 4 patients with low back pain and isthmic spondylolisthesis

Ferrari¹,

Vanti²,

O’Reilly³

2012

Journal of Chiropractic Medicine

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show abstract

“…These morphological changes are frequently seen in association with spondylolysis and spondylolisthesis, but they have no predictive value. They seem to be the result of spondylolysis and spondylolisthesis rather its cause [21] . Recent studies elucidate that epiphyseal injury in the juvenile spine is a determining factor for progression and a cause for abnormal morphology [21] .…”

Section: Natural Historymentioning

confidence: 97%

“…They seem to be the result of spondylolysis and spondylolisthesis rather its cause [21] . Recent studies elucidate that epiphyseal injury in the juvenile spine is a determining factor for progression and a cause for abnormal morphology [21] . The amount of lumbosacral kyphosis, or the slippage angle, especially when severe, is associated with progression in the growing child [22] .…”

Section: Natural Historymentioning

confidence: 97%

Natural History of Lumbar Spondylolysis-Advances and Concerns

Peng

2016

International Journal of Orthopaedics

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Lumbar spondylolysis is a common cause of low back pain in adolescents and young adults. Due to a lack of understanding to the natural history, its treatment is often chaotic and controversial. Lumbar spondylolisthesis is a common complication of spondylolysis, but slip progression was commonly small and slow according to long-term follow-up studies. Many predisposing risk factors have been identified as associated with a great chance of slip progression. However, the widely accepted mechanism leading to adult slip progression is related to disc degeneration at the slip level. Clinical decision made for patients presenting with spondylolysis and spondylolisthesis principally include concerns for future progression of the spondylolisthesis and issues concerning pain. Most patients with spondylolysis and/or spondylolisthesis respond to conservative treatment. Surgical treatment is generally thought for patients who fail to respond to conservative treatment.

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“…Thus, abnormalities of PI (pelvic incidence) may compromise spinal sagittal balance [13] and seem to be a major parameter in degenerative spinal disease when analyzing the pathogenesis of lumbar spondylolisthesis. Most of spondylolisthesis cases, are often asymptomatic and well tolerated whereas some other cases may become symptomatic and lead to major functional disability [14]. Consequently, assessment of patients' human morphology and spinal radiological characteristics could help predict worsening of spondylolisthesis.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Morphological Hallmark in Symptomatic Spondylotic Beninese Patients

J¹,

Madougou²,

Oladjo³

et al. 2017

JHS

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Spondylolisthesis is a well-known neurosurgical condition, in relation with various factors. The main objective was to report the morphological and radiological hallmark of patients presenting with symptomatic spondylolisthesis. This is a prospective, longitudinal, descriptive and analytical study: 1st April to 30th September 2014. Twenty nine patients were followed up, with female ascendance. The average age is 50 to 69 years. The most frequent level was L4-L5 and in most cases, only one level was involved. Lesions of Grade I were commonest (79.0%). The average values of the SS (sacral slope) and PI (pelvic incidence) was respectively 36.4 ± 6.9° (17.3° to 49.6°) with a median of 37.8° and 64.9 ± 9.2° (42.98° to 87.47°) with a median of 64.6°. LL (lumbar lordosis), had a mean value of 43.8 ± 10.8° (26.2° to 67.0°) with a median of 43.1°. DH (disc height) was 5 to 10 mm in most cases. A report was made with the morphology of the basin of the African woman. Our results are consistent for the most part with the literature data. This present study illustrates a female to male ration of 3. According to BMI (body mass index) assessment, 69% of patients presented with overweight. The main radiologic parameters are compromised with increasing sacral slop and PI and reduction of DH and LL. Findings are characteristic in female population.

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Spondylolysis and spondylolisthesis: a narrative review of etiology, diagnosis, and conservative management

Abstract: (J Chiropr Med 2005;4:206-217)

Cited by 41 publications

References 62 publications

Clinical presentation and physiotherapy treatment of 4 patients with low back pain and isthmic spondylolisthesis

Clinical presentation and physiotherapy treatment of 4 patients with low back pain and isthmic spondylolisthesis

Natural History of Lumbar Spondylolysis-Advances and Concerns

Epidemiology and Morphological Hallmark in Symptomatic Spondylotic Beninese Patients

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