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Lumbar Spondylolisthesis 

Lumbar Spondylolisthesis
Chapter:
Lumbar Spondylolisthesis
Author(s):

Mehul J. Desai

, Puneet Sayal

, and Michael S. Leong

DOI:
10.1093/med/9780199350940.003.0015
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date: 19 August 2019

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.

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