digplanet beta 1: Athena
Share digplanet:

Agriculture

Applied sciences

Arts

Belief

Business

Chronology

Culture

Education

Environment

Geography

Health

History

Humanities

Language

Law

Life

Mathematics

Nature

People

Politics

Science

Society

Technology

Not to be confused with spondylosis, spondylitis, or spondylolysis.
Spondylolisthesis
Classification and external resources
SpondylolisthesisL5S1.jpg
X-ray of the lateral lumbar spine with a grade III spondylolisthesis at the L5-S1 level.
ICD-10 M43.1, Q76.2
ICD-9 738.4, 756.12
OMIM 184200
DiseasesDB 12318
MedlinePlus 001260
eMedicine radio/651
Patient UK Spondylolisthesis
MeSH D013168

Spondylolisthesis is the forward displacement of a vertebra, especially the fifth lumbar vertebra, most commonly occurring after a break or fracture. Backward displacement is referred to as retrolisthesis.

The variant "listhesis," resulting from division of this compound word, is sometimes applied in conjunction with scoliosis.[unreliable medical source?][1] These "slips" occur most commonly in the lumbar spine. Spondylolysis (a defect or fracture of the pars interarticularis of the vertebral arch) is the most common cause of spondylolisthesis, which should not be confused with a slipped disc, where one of the spinal discs in between the vertebrae has ruptured.

A hangman's fracture is a specific type of spondylolisthesis where the C2 vertebra is displaced anteriorly relative to the C3 vertebra due to fractures of the C2 vertebra's pedicles.

Classification[edit]

X-ray picture of a grade 1 isthmic spondylolisthesis at L4-5
MRI of L5-S1 Spondylolisthesis

Spondylolisthesis is categorized into five types:[2]

  • Isthmic spondylolisthesis is the most common form; also called spondylolytic spondylolisthesis, it occurs with a reported prevalence of 5–7 percent in the US population. A slip or fracture of the intravertebral joint is usually acquired between the ages of 6 and 16 years, but remains unnoticed until adulthood. Roughly 90 percent of these isthmic slips are low-grade (less than 50 percent slip) and 10 percent are high-grade (greater than 50 percent slip).[2]
  • Degenerative spondylolisthesis is a disease of the older adult that develops as a result of facet arthritis and joint remodeling. Joint arthritis, and ligamentum flavum weakness, may result in slippage of a vertebrae. Degenerative forms are more likely to occur in women, persons older than fifty, and African-Americans.[2]
  • Traumatic spondylolisthesis is rare and results from acute fractures in the neural arch, other than the pars.[3]
  • Pathologic spondylolisthesis has been associated with damage to the posterior elements[which?] from metastases or metabolic bone disease. These slips have been reported in cases of Paget's disease of bone, tuberculosis, giant-cell tumors, and tumor metastases.[citation needed]
  • Dysplastic spondylolisthesis is a rare congenital spondylolisthesis occurring because of a malformation of the lumbosacral junction resulting in small, incompetent facet joints.[citation needed]

Signs and symptoms[edit]

Symptoms of spondylolisthesis include:[medical citation needed]

  • A general stiffening of the back and a tightening of the hamstrings, with a resulting change in both posture and gait.
  • A leaning-forward or semi-kyphotic posture may be seen, due to compensatory changes.
  • A "waddle" may be seen in more advanced causes, due to compensatory pelvic rotation due to decreased lumbar spine rotation.
  • A result of the change in gait is often a noticeable atrophy in the gluteal muscles due to lack of use.
  • Generalized lower-back pain may also be seen, with intermittent shooting pain from the buttocks to the posterior thigh, and/or lower leg via the sciatic nerve.

Other symptoms may include tingling and numbness. Coughing and sneezing can intensify the pain. An individual may also note a "slipping sensation" when moving into an upright position. Sitting and trying to stand up may be painful and difficult.[medical citation needed]

Treatment[edit]

Treatment of isthmic spondylolisthesis is controversial.[medical citation needed]

Conservative management[edit]

Patients with symptomatic isthmic spondylolisthesis are initially offered conservative treatment consisting of activity modification, pharmacological intervention, and a physical therapy consultation.

  • Physical therapy can evaluate and address postural and compensatory movement abnormalities.[medical citation needed]
  • Anti-inflammatory medications (NSAIDS) in combination with acetaminophen (Tylenol) can be tried initially. If a severe radicular component is present, a short course of oral steroids such as Prednisone or Methylprednisolone can be considered. Epidural steroid injections, either interlaminarl or transforaminal, performed under fluoroscopic guidance can help with severe radicular (leg) pain. Lumbosacral orthoses may be of benefit for some patients but should be used on a temporary basis to prevent spinal muscle atrophy and loss of proprioception.

Surgical[edit]

Degenerative spondylolisthesis with spinal stenosis is one of the most common indications for spine surgery among older adults.[medical citation needed]

History[edit]

X-ray of a grade 4 spondylolisthesis at L5-S1 with spinal misalignment indicated

Spondylolisthesis was first described in 1782 by Belgian obstetrician Herbinaux.[4] He reported a bony prominence anterior to the sacrum that obstructed the vagina of a small number of patients.[5] The term “spondylolisthesis” was coined in 1854 from the Greek σπονδυλος = "vertebra" and "ὁλισθος" = "slipperiness," "a slip."[6]

See also[edit]

References[edit]

  1. ^ [unreliable medical source?]"Natural History of Adult Scoliosis". 
  2. ^ a b c "Adult Spondylolisthesis in the Low Back". American Academy of Orthopaedic Surgeons. Retrieved 9 June 2013. 
  3. ^ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2843565/
  4. ^ Newman PH (1955). "Spondylolisthesis: its cause and effect". Ann Coll Surg Engl 16: 305. 
  5. ^ Henry Jacques Garrigues (1902). A text-book of the science and art of obstetrics. pp. 490–93. 
  6. ^ "Isthmic Spondylolisthesis and Spondylolysis". 

Original courtesy of Wikipedia: http://en.wikipedia.org/wiki/Spondylolisthesis — Please support Wikipedia.
This page uses Creative Commons Licensed content from Wikipedia. A portion of the proceeds from advertising on Digplanet goes to supporting Wikipedia.
10582 videos foundNext > 

Spondylolisthesis - DePuy Videos

Sometimes a vertebra can develop a defect, like a crack, on both sides of the bony ring of the spinal column. When that happens, the bone is weakened and can...

Spondylolisthesis Exercises To Avoid

www.spondyinfo.com Trying to determine what spondylolisthesis exercises to avoid requires more than a simple "don't do this".

Atlanta Spondylolisthesis Treatment

Dr. Castanet, in Atlanta, Georgia, explains what spondylolisthesis is, and how it's treated non-surgical and surgically. See more at www.atlantadiscandspine.com.

Spondylolisthesis / Simplified

Digestive Disorders contribute to spondies far more than we realize. Here's an extra video that's a little "wordy", but it clearly describes the relationship...

My Lumbar Spinal Fusion for Spondylolisthesis L5 S1

I'm Justine, age 19. I had a Lumbar Spinal Fusion surgery to fix my grade 3 Spondylolisthesis of L5 S1. I had L4-S2 fused. I put this video together for all ...

Spondylolysis & Spondylolisthesis in the Adolescent Athlete

Spondylolysis & Spondylolisthesis in the Adolescent Athlete by Scott Simon, MD.

Spine Conference Lecture: Spondylolisthesis

Spine Conference at Upper Chesapeake Medical Center in Bel Air, Maryland Harford County Maryland November 4th, 2011. Moderator Spiro Antoniades, M.D..

How To Strengthen Spondylolisthesis

http://www.fitnessquest10.com Dr. Kahl Goldfarb (Doctor of Physical Therapy), from Water and Sports Physical Therapy talks about what is spondylolisthesis an...

Wirbelgleiten - Spondylolisthesis

Wirbelgleiten ist eine Instabilität der Wirbelsäule, bei der ein Wirbelkörper in der Regel nach vorn über einen darunter liegenden Wirbelkörper gleitet. Das ...

Pilates, Sacramento CA : An Answer for Spondylolisthesis!

Audrey Langstroth , Owner Nephesh Pilates in Sacramento CA talks about Spondylolisthesis ! Please check out http://pilatessacramentoca.com/ for more info!

10582 videos foundNext > 

46 news items

 
OrthoSpineNews
Mon, 20 Oct 2014 09:30:00 -0700

The spark plug behind the spine care initiative is Carol Conduff, who Dr. Lorio successfully operated on for spondylolisthesis. He also treated Ms. Conduff's brother in 2010 when he was left without insurance after back pain caused him to close his ...
 
Becker's Hospital Review
Fri, 17 Oct 2014 12:09:18 -0700

... the pediatric neurosurgery department, St. Louis Children's also boasts the Center for Pediatric Spinal Disorders, a collaborative center between orthopedics and neurosurgery, that treats acute spinal cord injuries, kyphosis, scoliosis and ...
 
DigitalJournal.com
Sun, 19 Oct 2014 00:07:30 -0700

The most common causes of low back pain includes; spinal instability, stenosis, spondylolisthesis, and symptomatic degenerative disc disease. Chronic low back pain is generally caused by wear and tear associated with the aging process, but more ...
 
Becker's Orthopedic & Spine
Mon, 13 Oct 2014 13:48:45 -0700

The researchers searched on the ClinicalTrials.gov website several times to find studies related to herniated disc, degenerative disc disease, stenosis and spondylolisthesis in addition to other conditions. There were 263 spine-related studies ...
 
Dayton Daily News
Tue, 30 Sep 2014 21:07:30 -0700

He also learned he had spondylolisthesis, a spinal disc issue that was aggravated when he played basketball and football. Through a brochure at school Knecht learned about the Greater Dayton Rowing Association's (GDRA) youth program. “Initially I went ...

Philly.com (blog)

Philly.com (blog)
Wed, 08 Oct 2014 02:33:11 -0700

He also explained the conditions for which XLIF would be indicated including degenerative disc disease, degenerative spondylolisthesis and degenerative scoliosis. It cannot be used to treat conditions at the lowest level of the spine, L5-S1. Although ...

Lake Zurich Courier

Lake Zurich Courier
Mon, 06 Oct 2014 15:07:30 -0700

She had been living with scoliosis, stenosis and spondylolisthesis since her early 20s, and had undergone surgeries that involved shaving off a disc and putting screws in her back. The situation that turned her to yoga involved a screw breaking one of ...
 
Becker's Orthopedic & Spine
Fri, 10 Oct 2014 07:19:42 -0700

He also operates on spondylolisthesis, anthrogyposis and kyphosis. Dr. Feldman is the founder of The Center for Children at NYU Langone Medical Center/NYU Hospital for Joint Diseases. He is fellowship-trained from the Hospital for Sick Children.
Loading

Oops, we seem to be having trouble contacting Twitter

Support Wikipedia

A portion of the proceeds from advertising on Digplanet goes to supporting Wikipedia. Please add your support for Wikipedia!