Wong Leong C
J Can Chiropr Assoc. 2004 Jun;48(2):142-51.
A rare multi-level isthmic spondylolisthesis was discovered in a young male patient following an acute onset of low back pain. The prevalence of spondylolisthesis in the adult population is low and it is believed that the prevalence of multiple level spondylolisthesis is even rarer. A combination of onset of ambulation, hereditary factors, and sports involving hyper-extension of the spine are predisposing factors. Conservative treatment such as chiropractic manipulation and rehabilitation of the spine are first treatment options before surgical intervention is considered. The clinical presentations, radiographic features, treatment options including rehabilitation methods are discussed.
一名年轻男性患者在急性腰痛发作后被发现患有罕见的多节段峡部裂型腰椎滑脱。腰椎滑脱在成年人群中的患病率较低，且据信多节段腰椎滑脱的患病率更为罕见。开始行走的时间、遗传因素以及涉及脊柱过度伸展的运动等因素是诱发因素。在考虑手术干预之前，诸如脊椎按摩治疗和脊柱康复等保守治疗是首选治疗方案。本文讨论了其临床表现、影像学特征以及包括康复方法在内的治疗选择。
