Effects of Spina Bifida Occulta on Bone Union in Fifth Lumbar Spondylolysis.

bone union conservative treatment lumbar spondylolysis spina bifida occulta

Journal

Spine surgery and related research
ISSN: 2432-261X
Titre abrégé: Spine Surg Relat Res
Pays: Japan
ID NLM: 101718059

Informations de publication

Date de publication:
27 Jul 2023
Historique:
received: 15 12 2022
accepted: 19 01 2023
medline: 28 8 2023
pubmed: 28 8 2023
entrez: 28 8 2023
Statut: epublish

Résumé

The effect of spina bifida occulta (SBO) on bone union in lumbar spondylolysis is controversial. The study aim was to assess the effect of SBO on bone union after conservative treatment of L5 spondylolysis, the most common level. The study included 191 lesions in 145 patients (mean age, 14.0 years) with conservatively treated L5 spondylolysis. We examined the relationships between bone union after conservative treatment and the number of SBOs, levels, and single or multilevel status. Fisher's exact probability test, chi-square test, and Welch's T test were performed. The SBO incidence was 53%, with at least one SBO at any vertebral level. SBO at S1 ( The SBO incidence in L5 spondylolysis was 53%. SBO at S1 or S2 and a higher number of SBOs were associated with lower bone union rates. In particular, the bone union rate of lesions with SBOs at both S1 and S2 was <50%.

Identifiants

pubmed: 37636136
doi: 10.22603/ssrr.2022-0255
pmc: PMC10447187
doi:

Types de publication

Journal Article

Langues

eng

Pagination

390-395

Informations de copyright

Copyright © 2023 The Japanese Society for Spine Surgery and Related Research.

Déclaration de conflit d'intérêts

Conflicts of Interest: The authors declare that there are no relevant conflicts of interest.

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Auteurs

Hisanori Gamada (H)

Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center/Mito Kyodo General Hospital, Mito, Japan.

Masaki Tatsumura (M)

Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center/Mito Kyodo General Hospital, Mito, Japan.

Shun Okuwaki (S)

Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center/Mito Kyodo General Hospital, Mito, Japan.

Toru Funayama (T)

Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Masashi Yamazaki (M)

Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Classifications MeSH