Chapter

Lumbar Spondylolisthesis

Mehul J. Desai, Puneet Sayal and Michael S. Leong

in The Spine Handbook

Published on behalf of Oxford University Press

Published in print May 2018 | ISBN: 9780199350940
Published online June 2018 | e-ISBN: 9780199390793 | DOI: https://dx.doi.org/10.1093/med/9780199350940.003.0015
Lumbar Spondylolisthesis

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  • Pain Medicine
  • Rehabilitation Medicine
  • Spinal Surgery

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Lumbar spondylolisthesis typically presents as low back and/or lower extremity pain. Spondylolisthesis is most commonly observed in female patients and the elderly. Lumbar spondylolisthesis may result from congenital, isthmic, trauma-related, degenerative, and iatrogenic causes. Diagnostic imaging (radiographs, magnetic resonance imaging) and physical examination are needed to differentiate the categories of lumbar spondylolisthesis, which will assist in selecting the appropriate treatment. A customized interdisciplinary treatment plan tailored to the patient’s presentation and goals will produce clinical improvement. Surgical remediation is typically reserved for recalcitrant cases but can be effective.

Chapter.  3070 words.  Illustrated.

Subjects: Pain Medicine ; Rehabilitation Medicine ; Spinal Surgery

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