Systematic review of observational studies reveals no association between low back pain and lumbar spondylolysis with or without isthmic spondylolisthesis

Andrade, Nicholas S.; Ashton, Carol M.; Wray, Nelda P.; Brown, C. G.; Bartanusz, Viktor

doi:10.1007/s00586-015-3910-5

Cited by 26 publications

(14 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, a systematic review found that there was no strong or consistent association between IS and LBP in epidemiological studies of the general adult population. 26 The current study demonstrated that the surgical treatment of the involved vertebral segment effectively improved LBP regardless of whether an autologous graft or a cage was used for PLIF. A previous study reported that anterior lumbar interbody fusion was beneficial for LBP improvement for IS.…”

Section: Discussionmentioning

confidence: 60%

Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

et al. 2019

View full text Add to dashboard Cite

Objective To investigate the risk factors of postoperative low back pain (LBP) following posterior lumbar interbody fusion (PLIF) surgery for low-grade isthmic spondylolisthesis (IS). Methods This retrospective study enrolled patients with IS that underwent PLIF between January 2011 and January 2016. Demographic, clinical, surgical and radiological characteristics were analysed to determine associations between these characteristics and LBP as measured using a visual analogue scale (VAS) pain score. Results A total of 192 patients were enrolled in the study. The mean VAS pain score of LBP decreased significantly after surgery. The mean preoperative VAS pain score was significantly greater in patients with symptoms of ≤3 years duration compared with those with symptoms lasting >3 years. The postoperative VAS pain score was significantly lower in patients with grade 1 slippage compared with those with grade 2 slippage. There was a significant correlation between preoperative to postoperative change of VAS pain score and postoperative disc height ( r = 0.99). Conclusion PLIF significantly improved LBP in patients with low-grade IS, although patients still reported some postoperative LBP. The grade of slippage was a risk factor for postoperative LBP. Restoring the disc height appeared to improve LBP.

show abstract

Section: Discussionmentioning

confidence: 60%

Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In other words, the symptoms of patients enrolled in this study were considered to be unrelated to the presence of spondylolysis. Although most patients with spondylolysis are asymptomatic, 8 they may present with low back pain. 23 , 24 When the origin of the pain is obvious, direct repair of the pars defect is an effective treatment.…”

Section: Discussionmentioning

confidence: 99%

“…However, considering that most cases of lumbar spondylolysis are asymptomatic 8 , 9 and that minimally invasive decompression is associated with less slip progression in patients with degenerative spondylolisthesis, 10 we speculated whether surgery to repair spondylolysis may be unnecessary in patients with apparent disc herniation and sciatica. Microendoscopic discectomy (MED) is a minimally invasive technique for LDH that preserves posterior supporting muscles.…”

Section: Introductionmentioning

confidence: 99%

Is Microendoscopic Discectomy Effective for Patients With Concomitant Lumbar Disc Herniation and Spondylolysis?

Oshima

Inanami²,

Iwai³

et al. 2019

Global Spine Journal

View full text Add to dashboard Cite

Study Design: A retrospective cohort study. Objective: Although it is controversial whether to choose only discectomy or fusion surgery in patients with disc herniation and spondylolysis, we expected that aggravation of the spondylolysis may be prevented if posterior supporting muscles can be wellpreserved without extensive exploration. The purpose of this study was to investigate the influence of L5 spondylolysis on surgical outcomes following microendoscopic discectomy (MED) in patients with concomitant lumbar disc herniation and spondylolysis. Methods:We reviewed 811 patients who underwent MED for L4/5 or L5/S1 disc herniation. Patients with spondylolisthesis were excluded. We compared surgical outcomes of patients with and without L5 spondylolysis, whose age, sex, and surgical level were matched.Results: A total of 655 patients (80.7%) with complete data were considered eligible for the study. MED was performed at L4/5 and L5/S1 in 338 and 317 patients, respectively. A total of 20 patients (3.1%) had concomitant L5 spondylolysis and disc herniation at L4/5 (9 patients) or L5S1 (11 patients). As we compared each outcome of the 20 patients having L5 spondylolysis with 40 matched patients without L5 spondylosis, there were no significant differences in preoperative or postoperative outcomes between the 2 groups, and no patient with spondylolysis had undergone additional surgery during the mean follow-up period of 24 months.Conclusions: MED demonstrated good surgical results regardless of the presence or absence of spondylolysis. In patients with sciatica with concomitant disc herniation and spondylolysis, but without spondylolisthesis, fusion surgery may not be always necessary.

show abstract

“…Activity modification, bracing, and core-strengthening exercises alone may not be the most appropriate treatment for athletes from EB LBP. Mounting evidence 41 indicated that the pain from EB LBP may in fact not be from a pars interarticularis defect. Learning how to control lumbar extension with sport-specific movements and understanding pain may lead to more effective and efficient recovery in these athletes.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation of a Young Athlete With Extension-Based Low Back Pain Addressing Motor-Control Impairments and Central Sensitization

Winslow

Jackson

Getzin

et al. 2018

Journal of Athletic Training

View full text Add to dashboard Cite

show abstract

Systematic review of observational studies reveals no association between low back pain and lumbar spondylolysis with or without isthmic spondylolisthesis

Cited by 26 publications

References 24 publications

Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

Is Microendoscopic Discectomy Effective for Patients With Concomitant Lumbar Disc Herniation and Spondylolysis?

Rehabilitation of a Young Athlete With Extension-Based Low Back Pain Addressing Motor-Control Impairments and Central Sensitization

Contact Info

Product

Resources

About