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Spondylolisthesis and spondylolysis 

Spondylolisthesis and spondylolysis
Chapter:
Spondylolisthesis and spondylolysis
Author(s):

Dietrich Schlenzka

DOI:
10.1093/med/9780199550647.003.003017
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date: 13 December 2019

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.

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