Influence of Spondylolysis on Clinical Presentations in Patients With Lumbar Degenerative Disease.
computed tomography (ct)
lumbar degenerative disease
lumbar spine surgery
prevalence
prognosis
spondylolisthesis
spondylolysis
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
08 Jan 2021
08 Jan 2021
Historique:
entrez:
10
2
2021
pubmed:
11
2
2021
medline:
11
2
2021
Statut:
epublish
Résumé
There is insufficient current information regarding the prognosis of patients with lumbar spondylolysis when bone union is not achieved. To examine the number, age, and surgically treated levels of patients with lumbar degenerative disease who underwent lumbar spine surgery, and to compare the results between patients with spondylolysis and without spondylolysis, a cross-sectional study was performed. Patients with degenerative lumbar disease who underwent lumbar spine surgery were retrospectively reviewed (n=354). The prevalence of spondylolysis was determined using CT images. Patients were divided into a spondylolysis group and a non-spondylolysis group, and the patients' age, sex, and surgically treated levels were compared between the two groups. The prevalence of lumbar spondylolysis in the 354 patients was 6.50% (23/354). The patients' age was significantly lower in the spondylolysis group (54.2 ± 13.5 years) than in the non-spondylolysis group (63.8 ± 14.2). The number of surgically treated levels was significantly lower in the spondylolysis group (1.33 ± 0.56 levels) than in the non-spondylolysis group (1.70 ± 0.87). The percentage of patients who underwent surgery at L5-S1 was significantly higher in the spondylolysis group; whereas the percentage of patients who underwent surgery at L3-L4 or L4-L5 was significantly higher in the non-spondylolysis group. Our results suggest that the presence of spondylolysis may not increase the incidence of degenerative lumbar spinal disorders requiring spinal surgery. However, spondylolysis patients frequently have severe degenerative disease at one level caudal to the spondylolysis, and infrequently have multilevel lumbar degenerative disease requiring spinal surgery.
Sections du résumé
BACKGROUND
BACKGROUND
There is insufficient current information regarding the prognosis of patients with lumbar spondylolysis when bone union is not achieved. To examine the number, age, and surgically treated levels of patients with lumbar degenerative disease who underwent lumbar spine surgery, and to compare the results between patients with spondylolysis and without spondylolysis, a cross-sectional study was performed.
METHODS
METHODS
Patients with degenerative lumbar disease who underwent lumbar spine surgery were retrospectively reviewed (n=354). The prevalence of spondylolysis was determined using CT images. Patients were divided into a spondylolysis group and a non-spondylolysis group, and the patients' age, sex, and surgically treated levels were compared between the two groups.
RESULTS
RESULTS
The prevalence of lumbar spondylolysis in the 354 patients was 6.50% (23/354). The patients' age was significantly lower in the spondylolysis group (54.2 ± 13.5 years) than in the non-spondylolysis group (63.8 ± 14.2). The number of surgically treated levels was significantly lower in the spondylolysis group (1.33 ± 0.56 levels) than in the non-spondylolysis group (1.70 ± 0.87). The percentage of patients who underwent surgery at L5-S1 was significantly higher in the spondylolysis group; whereas the percentage of patients who underwent surgery at L3-L4 or L4-L5 was significantly higher in the non-spondylolysis group.
CONCLUSIONS
CONCLUSIONS
Our results suggest that the presence of spondylolysis may not increase the incidence of degenerative lumbar spinal disorders requiring spinal surgery. However, spondylolysis patients frequently have severe degenerative disease at one level caudal to the spondylolysis, and infrequently have multilevel lumbar degenerative disease requiring spinal surgery.
Identifiants
pubmed: 33564556
doi: 10.7759/cureus.12570
pmc: PMC7863028
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e12570Informations de copyright
Copyright © 2021, Aoki et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Orthop Sci. 2010 May;15(3):281-8
pubmed: 20559793
Eur Spine J. 2018 May;27(5):1067-1072
pubmed: 29030702
Spine (Phila Pa 1976). 2015 Jan 1;40(1):E29-34
pubmed: 25341981
Skeletal Radiol. 2010 Jul;39(7):669-73
pubmed: 19911181
Eur Spine J. 2007 Jun;16(6):821-8
pubmed: 17120072
J Neurosurg Spine. 2012 Jun;16(6):610-4
pubmed: 22519929
Clin Biomech (Bristol, Avon). 2006 Dec;21(10):1020-6
pubmed: 16959387
Arch Orthop Trauma Surg. 2009 Oct;129(10):1433-9
pubmed: 19084979
Spine (Phila Pa 1976). 2003 May 15;28(10):1027-35; discussion 1035
pubmed: 12768144
Eur Spine J. 1997;6(6):393-7
pubmed: 9455667
Spine (Phila Pa 1976). 2009 Oct 1;34(21):2346-50
pubmed: 19934813
J Bone Joint Surg Br. 1993 Sep;75(5):764-8
pubmed: 8376435
Arch Pediatr Adolesc Med. 1995 Jan;149(1):15-8
pubmed: 7827653
Sci Rep. 2020 Apr 21;10(1):6739
pubmed: 32317683
J Bone Joint Surg Br. 2004 Mar;86(2):225-31
pubmed: 15046438
Spine (Phila Pa 1976). 2006 Jan 15;31(2):206-11
pubmed: 16418642