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The vast majority of spondylolysis occur in the lumbar vertebrae, however it can also be seen in cervical vertebrae. [2] The lumbar vertebra consist of a body, pedicle, lamina, pars interarticularis, transverse process, spinous process and superior and inferior articular facets, which form joints that link the vertebrae together. When examining ...
Isthmic anterolisthesis (also called type 2) is caused by a defect in the pars interarticularis (spondylolysis) but it can also be seen with an elongated pars. [11] [12] Degenerative anterolisthesis (also called type 3) is a disease of the older adult that develops as a result of facet arthritis and joint remodeling.
Retrolisthesis can be classified as a form of spondylolisthesis, since spondylolisthesis is often defined in the literature as displacement in any direction. [1] [2] Yet, medical dictionaries usually define spondylolisthesis specifically as the forward or anterior displacement of a vertebra over the vertebra inferior to it (or the sacrum).
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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.
[1] [2] In the transverse plane, it lies between the lamina and pedicle. In other words, in the axial view, it is the bony mass between the facets that is anterior to the lamina and posterior to the pedicle. It is abnormal in spondylolysis, either due to fracture or congenitally. [1]
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