Adult Spondylolisthesis

Abstract

"Spondylolisthesis" is the term used to describe a translation of one vertebral body with respect to an adjacent level. It was first coined by Killian in 1854, utilizing the Greek roots "spondy-"(the spine) and "olisthesis"(a slippage of). This condition is most common at the lower lumbar and lumbosacral levels, and therefore the term"spondylolisthesis" tends to imply a process in this region. The incidence of acquired spondylolisthesis in adults is between 4% and 6% in the general population, with men affected approximately twice as often as women. The diagnosis of spondylolisthesis is made after careful evaluation of patient history, physical examination and imaging studies.

This OKO topic concentrates on discussing the pathophysiology, clinical presentation, and management options for adult degenerative and spondylolytic spondylolisthesis. Specific surgical techniques discussed in detail include laminectomy/arthrodesis and bilateral laminotomy. Video is available.

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