[Spondylolisthesis].
Spondylolisthese.
Conservative treatment
Degenerative spondylolisthesis
Lumbar back pain
Olisthesis
Surgical treatment
Journal
Orthopadie (Heidelberg, Germany)
ISSN: 2731-7153
Titre abrégé: Orthopadie (Heidelb)
Pays: Germany
ID NLM: 9918384887206676
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
accepted:
28
08
2023
medline:
3
11
2023
pubmed:
4
10
2023
entrez:
4
10
2023
Statut:
ppublish
Résumé
Spondylolisthesis is a frequent disease that is found in 20% of the adult population and is particularly accompanied by lumbar back pain. Degenerative spondylolisthesis develops in adulthood and is most often found in the L4/5 segment, in contrast to nondegenerative spondylolisthesis which is most often situated in the L5/S1 segment. Prior to every treatment the heterogeneous disease pattern has to be classified according to the severity grade of the olisthesis and to the Spinal Deformity Study Group (SDSG) classification. High-grade spondylolisthesis should preferably be surgically treated and low-grade spondylolisthesis should preferably be treated conservatively. In approximately 50% of all recently acquired spondylolistheses healing of the lysis can be achieved by a consequently carried out conservative treatment. Spondylolisthesen sind mit etwa 20 % Vorkommen in der erwachsenen Bevölkerung eine häufige Erkrankung, die v. a. mit lumbalen Rückenschmerzen einhergeht. Degenerative Spondylolisthesen entstehen im Erwachsenenalter und finden sich am häufigsten in dem Segment L4/5 – im Gegensatz zu den nicht degenerativ bedingten Spondylolisthesen, die sich am häufigsten im Segment L5/S1 befinden. Das heterogene Krankheitsbild muss vor jeder Behandlung anhand des Schweregrades der Olisthese und nach der SDSG(Spinal Deformity Study Group)-Klassifikation eingeteilt werden. High-grade-Spondylolisthesen werden eher operativ versorgt, Low-grade-Spondylolisthesen eher konservativ. Durch eine konsequente konservative Behandlung von rezenten Spondylolysen kann in etwa 50 % der Fälle eine Heilung der Lyse erreicht werden.
Autres résumés
Type: Publisher
(ger)
Spondylolisthesen sind mit etwa 20 % Vorkommen in der erwachsenen Bevölkerung eine häufige Erkrankung, die v. a. mit lumbalen Rückenschmerzen einhergeht. Degenerative Spondylolisthesen entstehen im Erwachsenenalter und finden sich am häufigsten in dem Segment L4/5 – im Gegensatz zu den nicht degenerativ bedingten Spondylolisthesen, die sich am häufigsten im Segment L5/S1 befinden. Das heterogene Krankheitsbild muss vor jeder Behandlung anhand des Schweregrades der Olisthese und nach der SDSG(Spinal Deformity Study Group)-Klassifikation eingeteilt werden. High-grade-Spondylolisthesen werden eher operativ versorgt, Low-grade-Spondylolisthesen eher konservativ. Durch eine konsequente konservative Behandlung von rezenten Spondylolysen kann in etwa 50 % der Fälle eine Heilung der Lyse erreicht werden.
Identifiants
pubmed: 37792012
doi: 10.1007/s00132-023-04443-w
pii: 10.1007/s00132-023-04443-w
doi:
Types de publication
English Abstract
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
931-940Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
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