Chapter

Spondylolisthesis and spondylolysis

Dietrich Schlenzka

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.003017

Series: Oxford Textbooks

Spondylolisthesis and spondylolysis

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Spondylolysis is a stress fracture of the vertebral arch. It may lead to vertebral slipping, spondylolisthesis.

Spondylolysthesis is commonly lytic, isthmic, or degenerative.

Spondylolysis and Spondylolysthesis can affect both children and adults.

Most common symptoms are low-back pain and/or radiating pain. True neurologic deficit is rare

Treating clinicians should be aware of the processes involved and the common consequences.

The majority of symptomatic patients are treated nonoperatively

Operation is indicated in rare cases with neurologic deficit and in children or adolescents with a slip of 50 per cent or more

Most common complications of surgery are nerve root compromise (especially in connection with slip reduction) and non-union.

Chapter.  4468 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery

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