Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery | 24 Oct 2012
P Foreman, CJ Griessenauer, K Watanabe, M Conklin, MM Shoja, CJ Rozzelle, M Loukas and RS Tubbs
INTRODUCTION: Spondylolysis is most commonly observed in the lumbar spine, particularly L5, and is associated with spondylolisthesis, or anterior “slippage” of a vertebra in relation to an adjacent vertebra. Isthmic spondylolisthesis is the result of a pars interarticularis defect and will be the only type of spondylolisthesis addressed in this review. CONCLUSIONS: Spondylolysis and spondylolisthesis represent a relatively common cause of low back pain, especially in young athletes, and a less common cause of neurologic compromise. When discovered in a symptomatic patient with corroborating imaging findings, early intervention provides an excellent prognosis. Herein, we review the anatomy and pathology of spondylosis and spondylolisthesis of the L5 vertebra.
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