He Lai-Chang, Wang Yi-Xiang J, Gong Jing-Shan, Griffith James F, Zeng Xian-Jun, Kwok Anthony W L, Leung Jason C S, Kwok Timothy, Ahuja Anil T, Leung Ping Chung
Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR, China.
Eur Radiol. 2014 Feb;24(2):441-8. doi: 10.1007/s00330-013-3041-5. Epub 2013 Oct 15.
A screening survey for osteoporotic fractures in men and women in Hong Kong represents the first large-scale prospective population-based study on bone health in elderly (≥65 years) Chinese men and women. This study aims to identify the prevalence and potential risk factors of lumbar spondylolisthesis in these subjects.
The lateral lumbar radiographs of 1,994 male and 1,996 female patients were analysed using the Meyerding classification.
Amongst the men, 380 (19.1%) had at least one spondylolisthesis and 43 (11.3%) had slips at two or more levels; 283 had anterolisthesis, 85 had retrolisthesis, whereas 12 subjects had both anterolisthesis and retrolisthesis. Amongst the women, 499 (25.0%) had at least one spondylolisthesis and 69 (13.8%) had slips at two or more levels; 459 had anterolisthesis, 34 had retrolisthesis, whereas 6 subjects had both anterolisthesis and retrolisthesis. Advanced age, short height, higher body mass index (BMI), higher bone mineral density (BMD) and degenerative arthritis are associated with spondylolisthesis. Lower Physical Activity Scale for the Elderly (PASE) score was associated with spondylolisthesis in men; higher body weight, angina and lower grip strength were associated with spondylolisthesis in women.
The male/female ratio of lumbar spondylolisthesis prevalence was 1:1.3 in elderly Chinese. Men are more likely to have retrolisthesis.
• The prevalence of spondylolisthesis is 19.1% in elderly Chinese men. • The prevalence of spondylolisthesis is 25.0% in elderly Chinese women. • Men are more likely to have retrolisthesis. • Anterolisthesis is most commonly seen at the L4/L5 level. • Retrolisthesis is most commonly seen at the L3/L4 level.
香港一项针对男性和女性骨质疏松性骨折的筛查调查是首次基于大规模前瞻性人群的中国老年（≥65岁）男性和女性骨骼健康研究。本研究旨在确定这些受试者中腰椎滑脱的患病率及潜在风险因素。
采用迈尔丁分类法对1994例男性和1996例女性患者的腰椎侧位X线片进行分析。
男性中，380例（19.1%）至少有一度腰椎滑脱，43例（11.3%）有两个或以上节段的滑脱；283例为前滑脱，85例为后滑脱，12例既有前滑脱又有后滑脱。女性中，499例（25.0%）至少有一度腰椎滑脱，69例（13.8%）有两个或以上节段的滑脱；459例为前滑脱，34例为后滑脱，6例既有前滑脱又有后滑脱。高龄、身高矮小、较高的体重指数（BMI）、较高的骨密度（BMD）和退行性关节炎与腰椎滑脱有关。老年人体力活动量表（PASE）评分较低与男性腰椎滑脱有关；体重较高、心绞痛和握力较低与女性腰椎滑脱有关。
中国老年人腰椎滑脱患病率的男/女比例为1:1.3。男性后滑脱的可能性更大。
•中国老年男性腰椎滑脱患病率为19.1%。•中国老年女性腰椎滑脱患病率为25.0%。•男性后滑脱的可能性更大。•前滑脱最常见于L4/L5节段。•后滑脱最常见于L3/L4节段。
