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Spondylolisthesis

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recommendations for initial low back pain treatment is remaining active, avoiding twisting and bending, avoiding activities that worsen pain, avoiding bed rest, and possibly initiating a trial of non-steroidal anti-inflammatory drugs after consulting a physician. Children and adolescents with persistent low back pain may require earlier imaging and should be seen by physician. Once imaging is deemed necessary, a combination of plain radiography, computed tomography, and magnetic resonance imaging may be used. Images are most often taken of the lumbar spine due to spondylolisthesis most commonly involving the lumbar region. Images of the thoracic spine can be taken if a patient's history and physical suggest thoracic involvement.
689: 386: 422: 458: 410: 398: 341:. It is the most common form of spondylolisthesis; also called spondylolytic spondylolisthesis, it occurs with a reported prevalence of 5–7 percent in the US population. A slip or fracture of the intravertebral joint is usually acquired between the ages of 6 and 16 years, but remains unnoticed until adulthood. Roughly 90 percent of these isthmic slips are low-grade (less than 50 percent slip) and 10 percent are high-grade (greater than 50 percent slip). It is divided into three subtypes: 434: 446: 719: 59: 470: 643:
conservative treatment. Conservative treatment consists primarily of physical therapy, medication, intermittent bracing, aerobic exercise, pharmacological intervention, and epidural steroid injections. The majority of patients with degenerative spondylolisthesis do not require surgical intervention.
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Plain radiography is often the first step in medical imaging. Anteroposterior (front-back) and lateral (side) images are used to allow the physician to view the spine at multiple angles. Oblique view are no longer recommended. In evaluating for spondylolithesis, plain radiographs provide information
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Muscle strength exercises – Lower abdominal, gluteal, and lumbar extensors should be assessed for weakness. Weakness in these muscles can increase lordosis and contribute to sacroiliac instability. Abdominal flexor strength can be assessed with the abdominal flexor endurance test. The test involves
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There are no clear radiological or medical guidelines or indications for surgical interventions in degenerative spondylolisthesis. A minimum of three months of conservative management should be completed prior to considering surgical intervention. Three indications for potential surgical treatment
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Magnetic resonance imaging is the preferred advanced imaging technique for evaluation of spondylolisthesis. Preference is due to effectiveness, lack of radiation exposure, and ability to evaluate for soft tissue abnormalities and spinal canal involvement. MRI is limited in its ability to evaluate
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The patient should be observed walking and standing. Most patients present with a normal gait. An abnormal gait is often the sign of a high grade case. A patient with high grade spondylolisthesis may present with a posterior pelvic tilt, causing a loss in the normal contour of the buttocks. An
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Spondylolisthesis patients without symptoms do not need to be treated. Non-operative management, also referred to as conservative treatment, is the recommended treatment for spondylolisthesis in most cases with or without neurological symptoms. Most patients with spondylolisthesis respond to
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Physical therapy can evaluate and address postural and compensatory movement abnormalities. Physical therapy primarily includes spinal flexion and extension exercises with a focus on core stabilization and muscle strengthening. In particular, lumbar spondylolisthesis may benefit from core
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In adults with non-specific low back pain, strong evidence suggests medical imaging should not be done within the first six weeks. It is also suggested to avoid advanced imaging, such as CT or MRI, for adults without neurological symptoms or "red flags" in the patient's history. General
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Computed tomography can be helpful in evaluating bony vertebral abnormalities, such as fractures. This can be helpful in determining if the fracture is a new, old, and/or progressing fracture. CT use in spondylolisthesis evaluation is controversial due to high radiation exposure.
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are as follows: persistent or recurrent back pain or neurologic pain with a persistent reduction of quality of life despite a reasonable trial of conservative (non-operative) management, new or worsening bladder or bowel symptoms, or a new or worsening neurological deficit.
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Chou, Roger; Qaseem, Amir; Owens, Douglas K.; Shekelle, Paul; Clinical Guidelines Committee of the American College of Physicians (2011-02-01). "Diagnostic imaging for low back pain: advice for high-value health care from the American College of Physicians".
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antalgic gait, rounded back and decreased hip extension can result from severe pain. While standing, the patient should be observed from the front, back, and sides. Increased and decreased lumbar lordosis, inward curvature of the lower spine, has been seen.
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Detection of spondylolisthesis by palpation is most often done by palpating for the spinous process. Each level of the lumbar spine should be palpated. Spinous process palpation by itself is not a definitive method for the detection of spondylolisthesis.
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Meyers, Laura L.; Dobson, Scott R.; Wiegand, Dave; Webb, Julie D.; Mencio, Gregory A. (September 1999). "Mechanical Instability as a Cause of Gait Disturbance in High-Grade Spondylolisthesis: A Pre-and Postoperative Three-Dimensional Gait Analysis".
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Some patients may benefit from bracing in combination with physical therapy. Additionally, bracing was found to be beneficial when performed immediately following the onset of symptoms, in particular patients with lumbar pars interarticular defects
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Other symptoms may include tingling and numbness. Coughing and sneezing can intensify the pain. An individual may also note a "slipping sensation" when moving into an upright position. Sitting and trying to stand up may be painful and difficult.
548:, must be done to rule out alternative causes for signs and symptoms. Neurological examination is often normal in patients with spondylolisthesis, but lumbosacral radiculopathy is commonly seen in patients with degenerate spondylolisthesis. 189:
Spondylolisthesis is graded based upon the degree of slippage of one vertebral body relative to the subsequent adjacent vertebral body. Spondylolisthesis is classified as one of the six major etiologies: degenerative, traumatic, dysplastic,
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can be considered. Epidural steroid injections, either interlaminal or transforaminal, performed under fluoroscopic guidance can help with severe radicular (leg) pain, but lacks conclusive benefit in relieving back pain in lumbar
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Steiger, F.; Becker, H.-J.; Standaert, C. J.; Balague, F.; Vader, J.-P.; Porchet, F.; Mannion, A. F. (May 2014). "Surgery in lumbar degenerative spondylolisthesis: indications, outcomes and complications. A systematic review".
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Al-Obaidi, Saud M.; Al-Zoabi, Baker; Al-Shuwaie, Nadia; Al-Zaabie, Najeeba; Nelson, Roger M. (June 2003). "The influence of pain and pain-related fear and disability beliefs on walking velocity in chronic low back pain".
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Kobayashi, Atsushi; Kobayashi, Tsutomu; Kato, Kazuo; Higuchi, Hiroshi; Takagishi, Kenji (January 2013). "Diagnosis of radiographically occult lumbar spondylolysis in young athletes by magnetic resonance imaging".
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Lumbar hyperextension – Extension often elicits pain. This can be assessed by having the patient hyperextend the lumbar spine, provide resistance against back extensions, or undergo repeated lumbar extensions.
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Collaer, Jeff W.; McKeough, D. Michael; Boissonnault, William G. (2006-01-01). "Lumbar Isthmic Spondylolisthesis Detection with Palpation: Interrater Reliability and Concurrent Criterion-Related Validity".
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while holding a 45 degree flexed trunk and 90 degree flexed knees for 30 seconds. Gluteal strength can be assessed with a single-leg squat. Lastly, lumbar extension can be assessed with a single-leg bridge.
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slips out of place compared to another. While some medical dictionaries define spondylolisthesis specifically as the forward or anterior displacement of a vertebra over the vertebra inferior to it (or the
752:. Retrolistheses are most easily diagnosed on lateral x-ray views of the spine. Views, where care has been taken to expose for a true lateral view without any rotation, offer the best diagnostic quality. 3222: 194:, pathologic, or post-surgical. Spondylolisthesis most commonly occurs in the lumbar spine, primarily at the L5-S1 level, with the L5 vertebral body anteriorly translating over the S1 vertebral body. 304:
anterolisthesis (a.k.a. type 1) results from congenital abnormalities of the upper sacral facets or inferior facets of the fifth lumbar vertebra, and accounts for 14% to 21% of all anterolisthesis.
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Lu VM, Kerezoudis P, Gilder HE, McCutcheon BA, Phan K, Bydon M (2017). "Minimally Invasive Surgery Versus Open Surgery Spinal Fusion for Spondylolisthesis: A Systematic Review and Meta-analysis".
544:, and maneuvers. The most common finding is pain with lumbar extension. The following physical involves specific assessment for spondylolisthesis. However, a general examination, most importantly 581:
Sport-specific motion – Patient can be asked to repeat aggravating movements that they experience during their activity. During the movement, ask patient to point to any places with focal pain.
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Foreman P, Griessenauer CJ, Watanabe K, Conklin M, Shoja MM, Rozzelle CJ, Loukas M, Tubbs RS (2013). "L5 spondylolysis/spondylolisthesis: a comprehensive review with an anatomic focus".
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stabilization exercises focusing on lower abdominal, lumbar muscles, hamstrings, and hip flexors, which may temporarily or permanently improve symptoms and improve general function.
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Classification by degree of the slippage, as measured as percentage of the width of the vertebral body: Grade I spondylolisthesis accounts for approximately 75% of all cases.
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Thornhill, Beverly A.; Green, Debra J.; Schoenfeld, Alan H. (2015), Wollowick, Adam L.; Sarwahi, Vishal (eds.), "Imaging Techniques for the Diagnosis of Spondylolisthesis",
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Straight leg raise – Maneuver used to assess for hamstring tightness. The straight leg raise has been found to be positive in only 10% of patients with spondylolisthesis.
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Vibert, Brady T.; Sliva, Christopher D.; Herkowitz, Harry N. (February 2006). "Treatment of instability and spondylolisthesis: surgical versus nonsurgical treatment".
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Maurer, Marvin; Soder, Ricardo Bernardi; Baldisserotto, Matteo (February 2011). "Spine abnormalities depicted by magnetic resonance imaging in adolescent rowers".
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Tofte, Josef N.; CarlLee, Tyler L.; Holte, Andrew J.; Sitton, Sean E.; Weinstein, Stuart L. (2017-05-15). "Imaging Pediatric Spondylolysis: A Systematic Review".
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Chou, Roger; Fu, Rongwei; Carrino, John A.; Deyo, Richard A. (2009-02-07). "Imaging strategies for low-back pain: systematic review and meta-analysis".
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Exercises such as cycling, elliptical training, swimming, and walking are considered low-impact aerobic exercises and are recommended for pain relief.
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weakness, may result in slippage of a vertebra. Degenerative forms are more likely to occur in women, persons older than fifty, and African Americans.
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Neuromusculoskeletal Examination and Assessment,A Handbook for Therapists with PAGEBURST Access,4: Neuromusculoskeletal Examination and Assessment
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Kalpakcioglu, Banu; Altınbilek, Turgay; Senel, Kazım (2009-03-27). "Determination of spondylolisthesis in low back pain by clinical evaluation".
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Generalized lower-back pain may also be seen, with intermittent shooting pain from the buttocks to the posterior thigh, and/or lower leg via the
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on the positioning and structural integrity of the spine. Therefore, if further detail is needed, a physician may request advanced imaging.
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Leone, Antonio; Cianfoni, Alessandro; Cerase, Alfonso; Magarelli, Nicola; Bonomo, Lorenzo (2011-06-01). "Lumbar spondylolysis: a review".
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anterolisthesis (a.k.a. type 2) is caused by a defect in the pars interarticularis but it can also be seen with an elongated pars.
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Libson, E.; Bloom, R. A.; Dinari, G. (1982). "Symptomatic and asymptomatic spondylolysis and spondylolisthesis in young adults".
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Anterolisthesis location includes which vertebrae are involved, and may also specify which parts of the vertebrae are affected.
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Metzger, Robert; Chaney, Susan (2014). "Spondylolysis and spondylolisthesis: What the primary care provider should know".
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Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. Copyright date 2003
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Anterolisthesis L5/S1. Blue arrow normal pars interarticularis. Red arrow is a break in pars interarticularis.
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can be tried initially. If a severe radicular component is present, a short course of oral steroids such as
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Syrmou E, Tsitsopoulos PP, Marinopoulos D, Tsonidis C, Anagnostopoulos I, Tsitsopoulos PD (2010).
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X-ray of measurement of spondylolisthesis at the lumbosacral joint, being 25% in this example
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anterolisthesis (a.k.a. type 3) is a disease of the older adult that develops as a result of
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Both minimally invasive and open surgical techniques are used to treat anterolisthesis.
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X-ray of the lateral lumbar spine with a grade III anterolisthesis at the L5-S1 level
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Garet, Matthew; Reiman, Michael P.; Mathers, Jessie; Sylvain, Jonathan (May 2013).
2341: 2325: 2278: 2241: 2225: 2195: 2167: 2127: 2122: 2110: 2064: 2041: 2013: 1976: 1932: 1905: 1877: 1787: 1764: 1736: 1636: 1597: 1543: 1499: 1437: 1409: 1365: 1271: 1230: 1195: 1158: 214: 79: 2681: 3889: 3624: 3454: 3420: 3373: 3148: 3116: 2868: 2665: 1413: 589: 511: 32: 2925: 2434:"Diagnosis and conservative management of degenerative lumbar spondylolisthesis" 1980: 1937: 1920: 3752: 3683: 3647: 3619: 3541: 3445: 3319: 3121: 3109: 2968: 2879: 2329: 1830: 1640: 1300: 1276: 1259: 1091: 1052: 741: 727: 218: 186:), it is often defined in medical textbooks as displacement in any direction. 2827: 2823: 2557: 2449: 2171: 1973:
Spondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques
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X-ray of a grade 4 anterolisthesis at L5-S1 with spinal misalignment indicated
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anterolisthesis (a.k.a. type 5) is caused by either infection or a malignancy.
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fractures in great detail, compared to other advanced imaging modalities.
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Bolesta, M. J.; Bohlman, H. H. (1989). "Degenerative spondylolisthesis".
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Spinal range of motion testing – Range of motion limitations may be seen.
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anterolisthesis (a.k.a. type 6) is caused by complications after surgery.
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Shamrock, Alan G.; Donnally III, Chester J.; Varacallo, Matthew (2019),
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McGraw-Hill Concise Dictionary of Modern Medicine. Copyright date 2002
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Dorland's Medical Dictionary for Health Consumers. Copyright date 2007
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Anterolisthesis can be categorized by cause, location, and severity.
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A result of the change in gait is often a noticeable atrophy in the
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Saifuddin, A.; White, J.; Tucker, S.; Taylor, B. A. (March 1998).
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anterolisthesis is rare and results from acute fractures in the
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Walter R. Frontera, Julie K. Silver, Thomas D. Rizzo (2014).
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Thomas J. Errico, Baron S. Lonner, Andrew W. Moulton (2009).
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The American Heritage Medical Dictionary. Copyright date 2007
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Anti-inflammatory medications (NSAIDS) in combination with
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Journal of the American Association of Nurse Practitioners
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Morita, T.; Ikata, T.; Katoh, S.; Miyake, R. (July 1995).
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X-ray picture of a grade 1 isthmic anterolisthesis at L4-5
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Herbinaux. He reported a bony prominence anterior to the
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Spondylolisthesis was first described in 1782 by Belgian
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A general stiffening of the back and a tightening of the
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is a specific type of spondylolisthesis where the second
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B: pars elongation due to multiple healed stress effects
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Displacement of one spinal vertebra compared to another
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Sengupta, Dilip K.; Herkowitz, Harry N. (2005-03-15).
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The Journal of Bone and Joint Surgery. British Volume
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The Journal of Bone and Joint Surgery. British Volume
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The Journal of the American Osteopathic Association
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Collins Dictionary of Medicine. Copyright date 2005
614: 493:, with a resulting change in both posture and gait. 118: 2701:Annals of the Royal College of Surgeons of England 2432:Kalichman, Leonid; Hunter, David J. (March 2008). 2111:"Lumbar spondylolysis in children and adolescents" 1590:Journal of Back and Musculoskeletal Rehabilitation 1014:Essentials of Physical Medicine and Rehabilitation 696:(B) Lateral radiograph pre-operative intervention. 337:anterolisthesis is where there is a defect in the 2594: 1867: 1777: 755:Retrolistheses are found most prominently in the 500:posture may be seen, due to compensatory changes. 3910: 1831:"Diagnosis and Treatment of Acute Low Back Pain" 1621: 1619: 1536:International Journal of Rehabilitation Research 1395: 1393: 1391: 1389: 2742:A textbook of the science and art of obstetrics 2431: 823:, which means "slipping, sliding or movement". 722:Grade 1 retrolistheses of C3 on C4 and C4 on C5 540:for spondylolisthesis consists of observation, 3924:Congenital disorders of musculoskeletal system 1450: 1090:Tenny, Steven; Gillis, Christopher C. (2019), 1003: 1001: 999: 213:. Anterolisthesis commonly involves the fifth 3230: 2953: 2764:"Isthmic Spondylolisthesis and Spondylolysis" 2488: 2312:Evans, Nick; McCarthy, Michael (2018-12-19). 2311: 1616: 1386: 2212:Haun, Daniel W.; Kettner, Norman W. (2005). 1629:Journal of Manual & Manipulative Therapy 1190: 1188: 1053:"Lumbar Spondylolysis And Spondylolisthesis" 1036:: CS1 maint: multiple names: authors list ( 988:: CS1 maint: multiple names: authors list ( 955: 953: 951: 605: 485:Symptoms of lumbar anterolisthesis include: 2211: 1298: 1257: 1089: 996: 623: 278:and joint remodeling. Joint arthritis, and 3237: 3223: 2960: 2946: 2271:Clinical Orthopaedics and Related Research 1669: 1198:. American Academy of Orthopaedic Surgeons 1121: 808:), which means "spine" or "vertebra," and 692:Degenerative spondylolisthesis at L5 - S1. 57: 2735: 2712: 2697:"Spondylolisthesis, its cause and effect" 2612: 2465: 2405: 2345: 2245: 2126: 1936: 1275: 1234: 1219:"Spondylolysis: a review and reappraisal" 1196:"Adult Spondylolisthesis in the Low Back" 1185: 966:Surgical Management of Spinal Deformities 948: 694:(A) CT sagittal view of a low grade slip. 1670:Petty, Nicola J.; Moore, Ann P. (2011). 1016:(3 ed.). Elsevier Health Sciences. 794:was coined in 1854 from the Greek words 717: 687: 2057:The American Journal of Sports Medicine 2006:The American Journal of Sports Medicine 1828: 1741:10.7326/0003-4819-154-3-201102010-00008 937:Mosby's Medical Dictionary, 9th edition 3911: 2694: 3218: 2941: 2538: 2536: 2427: 2425: 2367: 2365: 2207: 2205: 2104: 2102: 1966: 1964: 1583: 1581: 1484: 1482: 596: 480: 3758:Greig cephalopolysyndactyly syndrome 1380:"Pain Management: Spondylolisthesis" 1085: 1083: 1081: 1079: 763:region, but can also be seen in the 13: 3248:malformations and deformations of 2967: 2614:10.1097/01.brs.0000155579.88537.8e 2533: 2422: 2362: 2283:10.1097/01.blo.0000200233.99436.ea 2202: 2099: 1961: 1578: 1479: 891:Merriam-Webster medical dictionary 249: 217:. Backward displacement is called 14: 3935: 2792: 2736:Garrigues, Henry Jacques (1902). 1492:Journal of Pediatric Orthopaedics 1076: 713: 254: 221:. Lateral displacement is called 2218:Journal of Chiropractic Medicine 1829:Casazza, Brian A. (2012-02-15). 1548:10.1097/00004356-200306000-00004 1504:10.1097/01241398-199909000-00024 840:(Pars defect or stress fracture) 787:of a small number of patients. 615:Magnetic Resonance Imaging (MRI) 531: 468: 456: 444: 432: 420: 408: 396: 384: 78: 3431:Congenital patellar dislocation 3310:Wallis–Zieff–Goldblatt syndrome 2770: 2756: 2729: 2688: 2645: 2588: 2482: 2305: 2262: 2151: 2048: 1996: 1975:, Springer US, pp. 59–94, 1912: 1861: 1822: 1771: 1719: 1690: 1663: 1526: 1444: 1372: 1358: 1329: 1315: 1292: 1251: 1210: 637: 2128:10.1302/0301-620X.77B4.7615609 1341:Massachusetts General Hospital 1142: 1115: 1044: 903: 879: 861: 744:with respect to the subjacent 702:and placement of an interbody 551: 326: 1: 2230:10.1016/S0899-3467(07)60153-0 1792:10.1016/S0140-6736(09)60172-0 1453:Instructional Course Lectures 854: 3181:Intervertebral disc disorder 2666:10.1097/BRS.0000000000001731 1676:. Elsevier Health Sciences. 1414:10.1097/BRS.0000000000001912 1258:Leone LD, Lamont DW (1999). 968:. Elsevier Health Sciences. 811: 796: 632: 569: 560: 536:The major components of the 415:MRI of L5-S1 anterolisthesis 262: 7: 3717:Oto-palato-digital syndrome 3712:Hallermann–Streiff syndrome 3436:Congenital knee dislocation 3254:musculoskeletal abnormality 1981:10.1007/978-1-4899-7575-1_6 1938:10.1302/0301-620x.80b2.8219 1729:Annals of Internal Medicine 1698:"Imaging for Low Back Pain" 1301:"Isthmic Spondylolisthesis" 826: 679: 357: 10: 3940: 3748:Craniodiaphyseal dysplasia 2738:"Spondylolisthesic pelvis" 2330:10.1302/2058-5241.3.180020 1870:International Orthopaedics 1641:10.1179/106698106790820917 1277:10.7556/jaoa.1999.99.6.326 960:Introduction to chapter 17 817: 803: 770: 725: 496:A leaning-forward or semi- 378:Grade V: greater than 100% 18: 3882: 3858: 3834: 3825: 3780: 3730: 3722:Treacher Collins syndrome 3692: 3664: 3655: 3646: 3612: 3573:reduction deficits / limb 3572: 3516: 3509: 3444: 3401: 3364: 3355: 3318: 3286: 3277: 3260: 3194:Degenerative disc disease 3179: 3134: 3087: 3044: 3035: 3010: 2982: 2975: 2889: 2800: 2558:10.1007/s00586-013-3144-3 2450:10.1007/s00586-007-0543-3 2172:10.1007/s00256-010-0942-0 1835:American Family Physician 1163:10.1007/s00381-012-1942-2 1098:, StatPearls Publishing, 1059:, StatPearls Publishing, 915:Farlex medical dictionary 606:Plain Radiography (X-Ray) 160: 70: 65: 56: 48: 43: 3547:Cenani–Lenz syndactylism 3300:Cleidocranial dysostosis 2390:10.1177/1941738113480936 2069:10.1177/0363546510381365 2018:10.1177/0363546512464946 748:to a degree less than a 624:Computed Tomography (CT) 546:neurological examination 345:A: pars fatigue fracture 320:Post-surgical/iatrogenic 197: 19:Not to be confused with 3694:Craniofacial dysostosis 2503:10.1002/2327-6924.12083 3919:Deforming dorsopathies 3250:musculoskeletal system 3199:Spinal disc herniation 3057:Ankylosing spondylitis 2546:European Spine Journal 2438:European Spine Journal 1151:Child's Nervous System 750:luxation (dislocation) 723: 707: 353:C: pars acute fracture 3802:Klippel–Feil syndrome 3204:Facet joint arthrosis 3018:Scheuermann's disease 1602:10.3233/BMR-2009-0212 721: 691: 475:Anterolisthesis L5/S1 451:Anterolisthesis L5/S1 439:Anterolisthesis L5/S1 339:pars interarticularis 3812:Spina bifida occulta 3328:Madelung's deformity 3305:Sprengel's deformity 1299:Aruna Ganju (2002). 844:Failed back syndrome 783:that obstructed the 740:displacement of one 3630:RAPADILINO syndrome 2778:"Spondylolisthesis" 2744:. pp. 490–93. 2607:(6 Suppl): S71–81. 1092:"Spondylolisthesis" 911:"spondylolisthesis" 887:"spondylolisthesis" 514:due to lack of use. 177:is when one spinal 3492:Rocker bottom foot 2890:External resources 2695:Newman PH (1955). 2318:EFORT Open Reviews 2160:Skeletal Radiology 1882:10.1007/bf00267148 925:, in turn citing: 724: 708: 706:between L5 and S1. 675:spondylolisthesis. 672:methylprednisolone 597:Diagnostic Imaging 588:the patient lying 481:Signs and symptoms 235:hangman's fracture 3906: 3905: 3902: 3901: 3898: 3897: 3827:Thoracic skeleton 3807:Spondylolisthesis 3776: 3775: 3642: 3641: 3638: 3637: 3505: 3504: 3351: 3350: 3212: 3211: 3130: 3129: 3105:Spondylolisthesis 3031: 3030: 2935: 2934: 2926:Spondylolisthesis 1786:(9662): 463–472. 849:Joint dislocation 792:spondylolisthesis 375:Grade IV: 75–100% 372:Grade III: 50–75% 292:, other than the 280:ligamentum flavum 240:cervical vertebra 223:lateral listhesis 175:Spondylolisthesis 172: 171: 44:Spondylolisthesis 38:Medical condition 3931: 3874:Pectus carinatum 3869:Pectus excavatum 3832: 3831: 3790:Spinal curvature 3782:Vertebral column 3702:Crouzon syndrome 3666:Craniosynostosis 3662: 3661: 3653: 3652: 3518:fingers and toes 3514: 3513: 3426:Discoid meniscus 3383:Upington disease 3362: 3361: 3284: 3283: 3275: 3274: 3239: 3232: 3225: 3216: 3215: 3088:non inflammatory 3074:Spondylodiscitis 3042: 3041: 2984:Spinal curvature 2980: 2979: 2962: 2955: 2948: 2939: 2938: 2798: 2797: 2786: 2785: 2782:Cleveland Clinic 2774: 2768: 2767: 2760: 2754: 2753: 2733: 2727: 2726: 2716: 2692: 2686: 2685: 2660:(3): E177–E185. 2649: 2643: 2642: 2616: 2592: 2586: 2585: 2540: 2531: 2530: 2486: 2480: 2479: 2469: 2429: 2420: 2419: 2409: 2369: 2360: 2359: 2349: 2309: 2303: 2302: 2266: 2260: 2259: 2249: 2209: 2200: 2199: 2155: 2149: 2148: 2130: 2106: 2097: 2096: 2052: 2046: 2045: 2000: 1994: 1993: 1968: 1959: 1958: 1940: 1916: 1910: 1909: 1865: 1859: 1858: 1826: 1820: 1819: 1775: 1769: 1768: 1723: 1717: 1716: 1714: 1713: 1704:. Archived from 1694: 1688: 1687: 1667: 1661: 1660: 1623: 1614: 1613: 1585: 1576: 1575: 1530: 1524: 1523: 1486: 1477: 1476: 1448: 1442: 1441: 1397: 1384: 1383: 1376: 1370: 1369: 1362: 1356: 1355: 1353: 1352: 1343:. Archived from 1333: 1327: 1326: 1319: 1313: 1312: 1296: 1290: 1289: 1279: 1255: 1249: 1248: 1238: 1214: 1208: 1207: 1205: 1203: 1192: 1183: 1182: 1146: 1140: 1139: 1137: 1136: 1122:Frank Gaillard. 1119: 1113: 1112: 1111: 1110: 1087: 1074: 1073: 1072: 1071: 1048: 1042: 1041: 1035: 1027: 1005: 994: 993: 987: 979: 957: 946: 924: 922: 921: 907: 901: 900: 898: 897: 883: 877: 876: 865: 820: 819: 814: 806: 805: 799: 472: 460: 448: 436: 424: 412: 400: 388: 369:Grade II: 25–50% 149: 145: 140: 139: 136: 135: 132: 129: 126: 123: 120: 117: 114: 111: 108: 105: 102: 99: 96: 93: 90: 87: 84: 61: 41: 40: 3939: 3938: 3934: 3933: 3932: 3930: 3929: 3928: 3909: 3908: 3907: 3894: 3890:Poland syndrome 3878: 3854: 3821: 3772: 3726: 3688: 3634: 3625:Larsen syndrome 3613:multiple joints 3608: 3568: 3501: 3440: 3421:Genu recurvatum 3397: 3374:Hip dislocation 3347: 3314: 3264: 3256: 3243: 3213: 3208: 3189:Schmorl's nodes 3175: 3149:Upper back pain 3126: 3117:Spinal stenosis 3083: 3027: 3006: 2971: 2966: 2936: 2931: 2930: 2885: 2884: 2809: 2795: 2790: 2789: 2784:. July 8, 2020. 2776: 2775: 2771: 2762: 2761: 2757: 2734: 2730: 2693: 2689: 2650: 2646: 2593: 2589: 2541: 2534: 2487: 2483: 2430: 2423: 2370: 2363: 2324:(12): 620–631. 2310: 2306: 2267: 2263: 2210: 2203: 2156: 2152: 2107: 2100: 2053: 2049: 2001: 1997: 1991: 1969: 1962: 1917: 1913: 1866: 1862: 1827: 1823: 1776: 1772: 1724: 1720: 1711: 1709: 1696: 1695: 1691: 1684: 1668: 1664: 1624: 1617: 1586: 1579: 1531: 1527: 1487: 1480: 1449: 1445: 1408:(10): 777–782. 1398: 1387: 1378: 1377: 1373: 1364: 1363: 1359: 1350: 1348: 1335: 1334: 1330: 1321: 1320: 1316: 1305:Neurosurg Focus 1297: 1293: 1256: 1252: 1215: 1211: 1201: 1199: 1194: 1193: 1186: 1147: 1143: 1134: 1132: 1120: 1116: 1108: 1106: 1088: 1077: 1069: 1067: 1049: 1045: 1029: 1028: 1024: 1006: 997: 981: 980: 976: 958: 949: 919: 917: 909: 908: 904: 895: 893: 885: 884: 880: 867: 866: 862: 857: 829: 773: 730: 716: 697: 695: 693: 682: 640: 635: 626: 617: 608: 599: 572: 563: 554: 534: 512:gluteal muscles 483: 476: 473: 464: 461: 452: 449: 440: 437: 428: 425: 416: 413: 404: 401: 392: 389: 360: 329: 265: 257: 252: 250:Anterolisthesis 227:laterolisthesis 215:lumbar vertebra 211:anterolisthesis 200: 156: 147: 143: 81: 77: 39: 36: 33:Norman Lebrecht 17: 12: 11: 5: 3937: 3927: 3926: 3921: 3904: 3903: 3900: 3899: 3896: 3895: 3893: 3892: 3886: 3884: 3880: 3879: 3877: 3876: 3871: 3865: 3863: 3856: 3855: 3853: 3852: 3847: 3841: 3839: 3829: 3823: 3822: 3820: 3819: 3814: 3809: 3804: 3799: 3798: 3797: 3786: 3784: 3778: 3777: 3774: 3773: 3771: 3770: 3765: 3760: 3755: 3753:Dolichocephaly 3750: 3745: 3740: 3734: 3732: 3728: 3727: 3725: 3724: 3719: 3714: 3709: 3704: 3698: 3696: 3690: 3689: 3687: 3686: 3684:Trigonocephaly 3681: 3676: 3670: 3668: 3659: 3657:Skull and face 3650: 3644: 3643: 3640: 3639: 3636: 3635: 3633: 3632: 3627: 3622: 3620:Arthrogryposis 3616: 3614: 3610: 3609: 3607: 3606: 3605: 3604: 3599: 3594: 3582: 3576: 3574: 3570: 3569: 3567: 3566: 3565: 3564: 3554: 3549: 3544: 3542:Arachnodactyly 3539: 3538: 3537: 3522: 3520: 3511: 3507: 3506: 3503: 3502: 3500: 3499: 3494: 3489: 3484: 3483: 3482: 3470: 3469: 3468: 3463: 3450: 3448: 3446:foot deformity 3442: 3441: 3439: 3438: 3433: 3428: 3423: 3418: 3413: 3407: 3405: 3399: 3398: 3396: 3395: 3390: 3385: 3380: 3370: 3368: 3359: 3353: 3352: 3349: 3348: 3346: 3345: 3340: 3335: 3330: 3324: 3322: 3320:hand deformity 3316: 3315: 3313: 3312: 3307: 3302: 3296: 3294: 3281: 3272: 3258: 3257: 3242: 3241: 3234: 3227: 3219: 3210: 3209: 3207: 3206: 3201: 3196: 3191: 3185: 3183: 3177: 3176: 3174: 3173: 3168: 3167: 3166: 3161: 3151: 3146: 3140: 3138: 3132: 3131: 3128: 3127: 3125: 3124: 3122:Facet syndrome 3119: 3114: 3113: 3112: 3110:Retrolisthesis 3102: 3097: 3091: 3089: 3085: 3084: 3082: 3081: 3079:Pott's disease 3076: 3071: 3066: 3061: 3060: 3059: 3048: 3046: 3039: 3033: 3032: 3029: 3028: 3026: 3025: 3020: 3014: 3012: 3008: 3007: 3005: 3004: 2999: 2994: 2988: 2986: 2977: 2973: 2972: 2969:Spinal disease 2965: 2964: 2957: 2950: 2942: 2933: 2932: 2929: 2928: 2917: 2906: 2894: 2893: 2891: 2887: 2886: 2883: 2882: 2871: 2860: 2849: 2830: 2810: 2805: 2804: 2802: 2801:Classification 2794: 2793:External links 2791: 2788: 2787: 2769: 2755: 2728: 2687: 2644: 2587: 2552:(5): 945–973. 2532: 2481: 2444:(3): 327–335. 2421: 2384:(3): 225–232. 2361: 2304: 2261: 2224:(4): 206–217. 2201: 2166:(6): 683–700. 2150: 2121:(4): 620–625. 2098: 2063:(2): 392–397. 2047: 2012:(1): 169–176. 1995: 1989: 1960: 1931:(2): 208–211. 1911: 1876:(4): 259–261. 1860: 1841:(4): 343–350. 1821: 1770: 1735:(3): 181–189. 1718: 1689: 1682: 1662: 1615: 1577: 1525: 1478: 1443: 1385: 1371: 1357: 1328: 1314: 1291: 1250: 1209: 1184: 1141: 1114: 1075: 1043: 1022: 995: 974: 947: 945: 944: 941: 938: 935: 932: 929: 902: 878: 859: 858: 856: 853: 852: 851: 846: 841: 835: 828: 825: 772: 769: 742:vertebral body 734:retrolisthesis 728:Retrolisthesis 726:Main article: 715: 714:Retrolisthesis 712: 681: 678: 677: 676: 660: 657: 649: 639: 636: 634: 631: 625: 622: 616: 613: 607: 604: 598: 595: 594: 593: 585: 582: 579: 576: 571: 568: 562: 559: 553: 550: 533: 530: 525: 524: 516: 515: 508: 501: 494: 482: 479: 478: 477: 474: 467: 465: 462: 455: 453: 450: 443: 441: 438: 431: 429: 426: 419: 417: 414: 407: 405: 402: 395: 393: 390: 383: 380: 379: 376: 373: 370: 367: 366:Grade I: 0–25% 359: 356: 355: 354: 351: 347: 346: 328: 325: 324: 323: 317: 311: 305: 297: 283: 264: 261: 256: 255:Classification 253: 251: 248: 219:retrolisthesis 199: 196: 170: 169: 164: 158: 157: 155: 154: 74: 72: 68: 67: 63: 62: 54: 53: 50: 46: 45: 37: 15: 9: 6: 4: 3: 2: 3936: 3925: 3922: 3920: 3917: 3916: 3914: 3891: 3888: 3887: 3885: 3881: 3875: 3872: 3870: 3867: 3866: 3864: 3861: 3857: 3851: 3848: 3846: 3843: 3842: 3840: 3837: 3833: 3830: 3828: 3824: 3818: 3817:Sacralization 3815: 3813: 3810: 3808: 3805: 3803: 3800: 3796: 3793: 3792: 3791: 3788: 3787: 3785: 3783: 3779: 3769: 3766: 3764: 3763:Plagiocephaly 3761: 3759: 3756: 3754: 3751: 3749: 3746: 3744: 3741: 3739: 3736: 3735: 3733: 3729: 3723: 3720: 3718: 3715: 3713: 3710: 3708: 3707:Hypertelorism 3705: 3703: 3700: 3699: 3697: 3695: 3691: 3685: 3682: 3680: 3677: 3675: 3674:Scaphocephaly 3672: 3671: 3669: 3667: 3663: 3660: 3658: 3654: 3651: 3649: 3645: 3631: 3628: 3626: 3623: 3621: 3618: 3617: 3615: 3611: 3603: 3600: 3598: 3595: 3593: 3590: 3589: 3588: 3587: 3583: 3581: 3578: 3577: 3575: 3571: 3563: 3560: 3559: 3558: 3557:Brachydactyly 3555: 3553: 3550: 3548: 3545: 3543: 3540: 3536: 3533: 3532: 3531: 3527: 3524: 3523: 3521: 3519: 3515: 3512: 3510:Either / both 3508: 3498: 3495: 3493: 3490: 3488: 3485: 3481: 3478: 3477: 3476: 3475: 3471: 3467: 3464: 3462: 3459: 3458: 3457: 3456: 3452: 3451: 3449: 3447: 3443: 3437: 3434: 3432: 3429: 3427: 3424: 3422: 3419: 3417: 3414: 3412: 3409: 3408: 3406: 3404: 3400: 3394: 3391: 3389: 3386: 3384: 3381: 3379: 3378:Hip dysplasia 3375: 3372: 3371: 3369: 3367: 3363: 3360: 3358: 3354: 3344: 3341: 3339: 3336: 3334: 3331: 3329: 3326: 3325: 3323: 3321: 3317: 3311: 3308: 3306: 3303: 3301: 3298: 3297: 3295: 3293: 3289: 3285: 3282: 3280: 3276: 3273: 3271: 3267: 3263: 3259: 3255: 3251: 3247: 3240: 3235: 3233: 3228: 3226: 3221: 3220: 3217: 3205: 3202: 3200: 3197: 3195: 3192: 3190: 3187: 3186: 3184: 3182: 3178: 3172: 3171:Radiculopathy 3169: 3165: 3162: 3160: 3157: 3156: 3155: 3154:Low back pain 3152: 3150: 3147: 3145: 3142: 3141: 3139: 3137: 3133: 3123: 3120: 3118: 3115: 3111: 3108: 3107: 3106: 3103: 3101: 3100:Spondylolysis 3098: 3096: 3093: 3092: 3090: 3086: 3080: 3077: 3075: 3072: 3070: 3067: 3065: 3062: 3058: 3055: 3054: 3053: 3050: 3049: 3047: 3043: 3040: 3038: 3037:Spondylopathy 3034: 3024: 3021: 3019: 3016: 3015: 3013: 3009: 3003: 3000: 2998: 2995: 2993: 2990: 2989: 2987: 2985: 2981: 2978: 2974: 2970: 2963: 2958: 2956: 2951: 2949: 2944: 2943: 2940: 2927: 2923: 2922: 2918: 2916: 2912: 2911: 2907: 2905: 2901: 2900: 2896: 2895: 2892: 2888: 2881: 2877: 2876: 2872: 2870: 2866: 2865: 2861: 2859: 2855: 2854: 2850: 2848: 2844: 2840: 2839: 2835: 2831: 2829: 2825: 2821: 2820: 2816: 2812: 2811: 2808: 2803: 2799: 2783: 2779: 2773: 2765: 2759: 2751: 2747: 2743: 2739: 2732: 2724: 2720: 2715: 2710: 2707:(5): 305–23. 2706: 2702: 2698: 2691: 2683: 2679: 2675: 2671: 2667: 2663: 2659: 2655: 2648: 2640: 2636: 2632: 2628: 2624: 2620: 2615: 2610: 2606: 2602: 2598: 2591: 2583: 2579: 2575: 2571: 2567: 2563: 2559: 2555: 2551: 2547: 2539: 2537: 2528: 2524: 2520: 2516: 2512: 2508: 2504: 2500: 2496: 2492: 2485: 2477: 2473: 2468: 2463: 2459: 2455: 2451: 2447: 2443: 2439: 2435: 2428: 2426: 2417: 2413: 2408: 2403: 2399: 2395: 2391: 2387: 2383: 2379: 2378:Sports Health 2375: 2368: 2366: 2357: 2353: 2348: 2343: 2339: 2335: 2331: 2327: 2323: 2319: 2315: 2308: 2300: 2296: 2292: 2288: 2284: 2280: 2276: 2272: 2265: 2257: 2253: 2248: 2243: 2239: 2235: 2231: 2227: 2223: 2219: 2215: 2208: 2206: 2197: 2193: 2189: 2185: 2181: 2177: 2173: 2169: 2165: 2161: 2154: 2146: 2142: 2138: 2134: 2129: 2124: 2120: 2116: 2112: 2105: 2103: 2094: 2090: 2086: 2082: 2078: 2074: 2070: 2066: 2062: 2058: 2051: 2043: 2039: 2035: 2031: 2027: 2023: 2019: 2015: 2011: 2007: 1999: 1992: 1990:9781489975751 1986: 1982: 1978: 1974: 1967: 1965: 1956: 1952: 1948: 1944: 1939: 1934: 1930: 1926: 1922: 1915: 1907: 1903: 1899: 1895: 1891: 1887: 1883: 1879: 1875: 1871: 1864: 1856: 1852: 1848: 1844: 1840: 1836: 1832: 1825: 1817: 1813: 1809: 1805: 1801: 1797: 1793: 1789: 1785: 1781: 1774: 1766: 1762: 1758: 1754: 1750: 1746: 1742: 1738: 1734: 1730: 1722: 1708:on 2019-11-07 1707: 1703: 1699: 1693: 1685: 1683:9780702029905 1679: 1675: 1674: 1666: 1658: 1654: 1650: 1646: 1642: 1638: 1634: 1630: 1622: 1620: 1611: 1607: 1603: 1599: 1595: 1591: 1584: 1582: 1573: 1569: 1565: 1561: 1557: 1553: 1549: 1545: 1541: 1537: 1529: 1521: 1517: 1513: 1509: 1505: 1501: 1497: 1493: 1485: 1483: 1474: 1470: 1466: 1462: 1458: 1454: 1447: 1439: 1435: 1431: 1427: 1423: 1419: 1415: 1411: 1407: 1403: 1396: 1394: 1392: 1390: 1381: 1375: 1367: 1361: 1347:on 2016-10-23 1346: 1342: 1338: 1332: 1324: 1318: 1310: 1306: 1302: 1295: 1287: 1283: 1278: 1273: 1269: 1265: 1261: 1254: 1246: 1242: 1237: 1232: 1228: 1224: 1220: 1213: 1197: 1191: 1189: 1180: 1176: 1172: 1168: 1164: 1160: 1157:(2): 209–16. 1156: 1152: 1145: 1131: 1130: 1125: 1118: 1105: 1101: 1097: 1093: 1086: 1084: 1082: 1080: 1066: 1062: 1058: 1054: 1047: 1039: 1033: 1025: 1023:9780323222723 1019: 1015: 1009: 1004: 1002: 1000: 991: 985: 977: 975:9781416033721 971: 967: 961: 956: 954: 952: 942: 939: 936: 933: 930: 927: 926: 916: 912: 906: 892: 888: 882: 874: 870: 864: 860: 850: 847: 845: 842: 839: 838:Spondylolysis 836: 834: 831: 830: 824: 822: 813: 807: 798: 793: 788: 786: 782: 778: 768: 766: 762: 758: 753: 751: 747: 743: 739: 735: 729: 720: 711: 705: 701: 690: 686: 673: 669: 665: 661: 658: 655: 654:spondylolysis 650: 646: 645: 644: 630: 621: 612: 603: 591: 586: 583: 580: 577: 574: 573: 567: 558: 549: 547: 543: 539: 538:physical exam 532:Physical Exam 529: 522: 521:sciatic nerve 518: 517: 513: 509: 506: 502: 499: 495: 492: 488: 487: 486: 471: 466: 459: 454: 447: 442: 435: 430: 423: 418: 411: 406: 399: 394: 387: 382: 381: 377: 374: 371: 368: 365: 364: 363: 352: 349: 348: 344: 343: 342: 340: 336: 332: 321: 318: 315: 312: 309: 306: 303: 302: 298: 295: 291: 287: 284: 281: 277: 274: 270: 267: 266: 260: 247: 245: 241: 237: 236: 230: 228: 224: 220: 216: 212: 208: 204: 195: 193: 187: 185: 180: 176: 168: 165: 163: 159: 152: 151: 138: 76: 75: 73: 71:Pronunciation 69: 64: 60: 55: 51: 47: 42: 34: 30: 29:Spondylolysis 26: 22: 3806: 3738:Macrocephaly 3584: 3580:Acheiropodia 3552:Ectrodactyly 3472: 3453: 3338:Oligodactyly 3333:Clinodactyly 3262:Appendicular 3104: 3064:Sacroiliitis 3045:inflammatory 2919: 2908: 2897: 2873: 2862: 2851: 2832: 2813: 2781: 2772: 2758: 2741: 2731: 2704: 2700: 2690: 2657: 2653: 2647: 2604: 2600: 2590: 2549: 2545: 2494: 2490: 2484: 2441: 2437: 2381: 2377: 2321: 2317: 2307: 2274: 2270: 2264: 2221: 2217: 2163: 2159: 2153: 2118: 2114: 2060: 2056: 2050: 2009: 2005: 1998: 1972: 1928: 1924: 1914: 1873: 1869: 1863: 1838: 1834: 1824: 1783: 1779: 1773: 1732: 1728: 1721: 1710:. 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Index

Spondylosis
Spondylitis
Spondylolysis
Norman Lebrecht

/ˌspɒndɪllɪsˈθsɪs/
SPON-dil-oh-lis-THEE-sis
Specialty
Orthopedics
vertebra
sacrum
isthmic
lumbar vertebra
retrolisthesis
hangman's fracture
cervical vertebra
pedicles
facet
arthritis
ligamentum flavum
neural arch
pars
Dysplastic
pars interarticularis
X-ray of measurement of spondylolisthesis at the lumbosacral joint, being 25% in this example
X-ray picture of a grade 1 isthmic anterolisthesis at L4-5
MRI of L5-S1 anterolisthesis
X-ray of a grade 4 anterolisthesis at L5-S1 with spinal misalignment indicated
Anterolisthesis L5/S1
Anterolisthesis L5/S1

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