Foreman Paul, Griessenauer Christoph J, Watanabe Koichi, Conklin Michael, Shoja Mohammadali M, Rozzelle Curtis J, Loukas Marios, Tubbs R Shane
Children's Hospital, ACC 400, 1600 7th Ave South, Birmingham, AL 35233, USA.
Childs Nerv Syst. 2013 Feb;29(2):209-16. doi: 10.1007/s00381-012-1942-2. Epub 2012 Oct 23.
Spondylolysis is most commonly observed in the lumbar spine, particularly L5, and is associated with spondylolisthesis, or anterior "slippage" of a vertebra in relation to an adjacent vertebra. Isthmic spondylolisthesis is the result of a pars interarticularis defect and will be the only type of spondylolisthesis addressed in this review.
Spondylolysis and spondylolisthesis represent a relatively common cause of low back pain, especially in young athletes, and a less common cause of neurologic compromise. When discovered in a symptomatic patient with corroborating imaging findings, early intervention provides an excellent prognosis. Herein, we review the anatomy and pathology of spondylosis and spondylolisthesis of the L5 vertebra.
椎弓根峡部裂最常见于腰椎，尤其是L5，并且与椎体滑脱相关，即一个椎体相对于相邻椎体向前“滑移”。峡部裂性椎体滑脱是关节突间部缺损的结果，且将是本综述中讨论的唯一一种椎体滑脱类型。
椎弓根峡部裂和椎体滑脱是导致腰痛的相对常见原因，尤其是在年轻运动员中，而导致神经功能损害的情况则较少见。当在有影像学检查结果佐证的有症状患者中发现时，早期干预可带来良好的预后。在此，我们综述L5椎体椎弓根峡部裂和椎体滑脱的解剖学与病理学。
