Spondylolisthesis
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View Henry Knipe's current disclosures- Spondylolistheses
Spondylolisthesis (plural: spondylolistheses) denotes the slippage of one vertebra relative to the one below.
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Terminology
Although etymologically, it is directionless (see below) and could be applied to both anterolisthesis and retrolisthesis, in practice, spondylolisthesis is used synonymously with anterolisthesis. Often, particularly in the lower lumbar spine, it is due to spondylolysis (pars interarticularis defects) 6.
Pathology
Spondylolisthesis can occur anywhere in the vertebral column but is most frequent in the lumbar spine, particularly when due to spondylolysis at L5/S1 ref, and when due to degeneration at L4/5 7.
Radiology report
To adequately describe a spondylolisthesis, both the type (see the classification of spondylolisthesis) and grade (see grading of spondylolisthesis) need to be stated.
History and etymology
Spondylolisthesis is from the Ancient Greek σπονδύλους (spondylous) meaning vertebra and ολίσθηση (olisthesis) meaning slippage 6. Carl von Rokitansky, (1804-1878), an Austrian pathologist, was the first to describe spondylolisthesis in 1839 8.
Quiz questions
References
- 1. Schneider C & Melamed A. Spondyloysis and Spondylolisthesis; Case Report Clarifying the Etiology of Spondylolysis. Radiology. 1957;69(6):863-6. doi:10.1148/69.6.863 - Pubmed
- 2. Ravichandran G. A Radiologic Sign in Spondylolisthesis. AJR Am J Roentgenol. 1980;134(1):113-7. doi:10.2214/ajr.134.1.113 - Pubmed
- 3. Oakley R & Carty H. Review of Spondylolisthesis and Spondylolysis in Paediatric Practice. Br J Radiol. 1984;57(682):877-85. doi:10.1259/0007-1285-57-682-877 - Pubmed
- 4. Wiltse LL. Classification, Terminology and Measurements in Spondylolisthesis. Iowa Orthop J. 1981; 1: 52–57. Free text at pubmed - Pubmed citation
- 5. Lee J & Shin B. Current Concept on the Classification and Treatment of Spondylolisthesis. J Korean Soc Spine Surg. 2010;17(1):38. doi:10.4184/jkss.2010.17.1.38
- 6. Yochum TR and Rowe LJ "Essentials of skeletal radiology" Lippincott Williams & Wilkins, 2004. Google Books
- 7. Izzo R, Guarnieri G, Guglielmi G, Muto M. Biomechanics of the Spine. Part II: Spinal Instability. Eur J Radiol. 2013;82(1):127-38. doi:10.1016/j.ejrad.2012.07.023 - Pubmed
- 8. Schlenzka D. [The History of Spondylolisthesis. The Nineteenth Century: Early Case Reports, Terminology, Etiology and Pathogenesis]. Unfallchirurg. 2015;118 Suppl 1(S1):37-42. doi:10.1007/s00113-015-0079-7 - Pubmed
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