Spondylolysis and spondylolisthesis in the pediatric and adolescent population

Giandomenico Logroscino, Osvaldo Mazza, Angelo Gabriele Aulisa, Enrico Pola, Lorenzo Aulisa, L Pitta

Risultato della ricerca: Contributo in rivistaArticolo in rivista

53 Citazioni (Scopus)

Abstract

This article is a review of spondylolysis and spondylolisthesis in younger age groups. Since Herbinaux first described the pathology (1782), many classifications and theories of etiopathogenesis have been proposed. The congenital and isthmic types, as classified by Wiltse, are the most frequent in younger age groups, but the postsurgical progressive forms (3–5%) have been described as increasing in frequency secondary to neoplastic surgery in children. The general incidence is 4–5% at the age of 6 years, and in 30–50% of cases these types do not progress to spondylolisthesis. Most cases are asymptomatic (80%). Standard radiographic examinations (A–P, L, Oblique) are helpful in diagnosis and can suggest what the prognosis will be in terms of the evolution, and also what treatment is indicated (degree of slippage, slip angle, lumbar and lumbosacral index, SPTI). A bone scan (PBS and SPECT) is useful in the early stages of spondylolysis (pre-spondylosis). Although the CT scan is the most accurate examination, MRI is becoming important for diagnosis because of the frequency with which it is used as a primary investigation method. Depending on patient age, progression, degree of slippage, and symptoms, different therapeutic approaches have been proposed
Lingua originaleEnglish
pagine (da-a)644-655
Numero di pagine12
RivistaCHILDS NERVOUS SYSTEM
Volume17
DOI
Stato di pubblicazionePubblicato - 2001

Keywords

  • Adolescent
  • Arthrodesis
  • Child
  • Humans
  • Magnetic Resonance Imaging
  • Spondylolisthesis
  • Spondylolysis
  • Tomography, Emission-Computed, Single-Photon
  • Tomography, X-Ray Computed

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