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This stress fracture most commonly occurs where the concave lumbar spine transitions to the convex sacrum (L5-S1). A significant number of individuals with spondylolysis will develop spondylolisthesis, which is true for 50-81% of this population. [12] [3] Pars interarticularis marked with red lines
Degenerative spondylolisthesis at L5-S1. (A) CT sagittal view of a low grade slip. (B) Lateral radiograph pre-operative intervention. (C) Surgically treated with L5–S1 decompression, instrumented fusion and placement of an interbody graft between L5 and S1. Both minimally invasive and open surgical techniques are used to treat anterolisthesis ...
These cannot be determined by plain films, as the x-ray passes through the soft tissue. A study by Giles et al., stated that sixteen of the thirty patients (53%) had retrolisthesis of L5 on S1 ranging from 2–9 mm; these patients had either intervertebral disc bulging or protrusion on CT examination ranging from 3–7 mm into the spinal canal.
Physically demanding jobs, contact sports and being overweight can increase risk of developing lumbar spondylosis. Lumbar spondylosis diagnosis can be made by physical exam, symptom tracking, MRI ...
52 year old male with a degenerative spondylolisthesis at L5 - S1. (A) CT sagittal view of a low grade slip. (B) Lateral radiograph pre-operative intervention. - (C) Surgically treated with L5 - S1 decompression, instrumented fusion and placement of an interbody graft between L5 and S1.
The fifth lumbar vertebra is by far the most common site of spondylolysis and spondylolisthesis. [3] Most individuals have five lumbar vertebrae, while some have four or six. Lumbar disorders that normally affect L5 will affect L4 or L6 in these latter individuals.
Spondylosis is the degeneration of the vertebral column from any cause. In the more narrow sense, it refers to spinal osteoarthritis , the age-related degeneration of the spinal column, which is the most common cause of spondylosis.
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