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Prognostic radiographic aspects of spondylolisthesis

Abstract

A series of 202 patients (133 men, 69 women) with lumbar spondylolysis were examined radiographically on two occasions, first at the time of diagnosis and later at a follow-up, after an observation period of 20 years or more. The films from patients in groups without and with moderate and severe olisthesis were evaluated with respect to variables describing lumbosacral lordosis, wedging of the spondylolytic vertebra, lengths of the transverse processes and iliolumbar ligaments, disk height, progression of slipping, and influence on measured olisthesis of lumbar spine flexion and extension at the radiographic examination. The evaluation was made with special attention to possible signs which could be predictive for the prognosis of vertebral slipping. Progression of slipping did not differ between patients diagnosed as adults or adolescents. Reduction of disk height was correlated to the degree of slipping present at the initial examination and to the progression of olisthesis. Flexion and extension of the lumbar spine did not modify the degree of olisthesis. Data concerning the lengths of the transverse processes and the iliolumbar ligaments, and lumbar lordosis, cannot be used for prognostic purposes. The lumbar index reflecting the degree of wedge deformity of the spondylolytic vertebra was shown to be  More>>
Publication Date:
Jan 01, 1984
Product Type:
Journal Article
Reference Number:
SWED-86-000145; EDB-86-090187
Resource Relation:
Journal Name: Acta Radiol., Diagn.; (Sweden); Journal Volume: 25:5
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; VERTEBRAE; BIOMEDICAL RADIOGRAPHY; SKELETAL DISEASES; ADOLESCENTS; ADULTS; IMAGES; PATIENTS; X-RAY RADIOGRAPHY; AGE GROUPS; BODY; DIAGNOSTIC TECHNIQUES; DISEASES; INDUSTRIAL RADIOGRAPHY; MEDICINE; NUCLEAR MEDICINE; ORGANS; RADIOLOGY; SKELETON; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
6024884
Research Organizations:
Karolinska Sjukhuset, Stockholm, Sweden. Dept. of Orthopaedic Surgery
Country of Origin:
Sweden
Language:
English
Other Identifying Numbers:
Journal ID: CODEN: ACRDA
Submitting Site:
SWD
Size:
Pages: 427-432
Announcement Date:
May 01, 1986

Citation Formats

Saraste, H, Brostroem, L A, and Aparisi, T. Prognostic radiographic aspects of spondylolisthesis. Sweden: N. p., 1984. Web.
Saraste, H, Brostroem, L A, & Aparisi, T. Prognostic radiographic aspects of spondylolisthesis. Sweden.
Saraste, H, Brostroem, L A, and Aparisi, T. 1984. "Prognostic radiographic aspects of spondylolisthesis." Sweden.
@misc{etde_6024884,
title = {Prognostic radiographic aspects of spondylolisthesis}
author = {Saraste, H, Brostroem, L A, and Aparisi, T}
abstractNote = {A series of 202 patients (133 men, 69 women) with lumbar spondylolysis were examined radiographically on two occasions, first at the time of diagnosis and later at a follow-up, after an observation period of 20 years or more. The films from patients in groups without and with moderate and severe olisthesis were evaluated with respect to variables describing lumbosacral lordosis, wedging of the spondylolytic vertebra, lengths of the transverse processes and iliolumbar ligaments, disk height, progression of slipping, and influence on measured olisthesis of lumbar spine flexion and extension at the radiographic examination. The evaluation was made with special attention to possible signs which could be predictive for the prognosis of vertebral slipping. Progression of slipping did not differ between patients diagnosed as adults or adolescents. Reduction of disk height was correlated to the degree of slipping present at the initial examination and to the progression of olisthesis. Flexion and extension of the lumbar spine did not modify the degree of olisthesis. Data concerning the lengths of the transverse processes and the iliolumbar ligaments, and lumbar lordosis, cannot be used for prognostic purposes. The lumbar index reflecting the degree of wedge deformity of the spondylolytic vertebra was shown to be the only variable of prognostic value for the development of vertebral slipping.}
journal = []
volume = {25:5}
journal type = {AC}
place = {Sweden}
year = {1984}
month = {Jan}
}