Royal Adelaide Hospital, Adelaide, Australia.
Royal Gwent Hospital, Newport, UK.
Eur Spine J. 2019 Jun;28(6):1406-1412. doi: 10.1007/s00586-018-5758-y. Epub 2018 Sep 14.
Degenerative spondylolisthesis (DS) is a degenerative condition of the spine which, unlike others, is more common in a female population. Previous studies have highlighted possible causative factors such as facet tropism and pregnancy as reasons for this. This study sets out to assess the possible link between abdominal musculature and DS.
A prospective cross-sectional cohort study in a single surgeon practice assessed all patients aged over 50 years attending for degenerative lumbar spinal complaints. Patient demographics, as well as the number of pregnancies, children, abdominal surgical procedures, were recorded.
We found 205 patients that met our inclusion criteria (98 Males/107 Females). Women with multiple pregnancies (p = 0.036) and abdominal surgeries (p = 0.021) were more likely to develop DS. Males with ventral hernias were more likely to have developed DS (p = 0.004).
This study highlights the important role that the abdominal musculature plays in stabilization of the spine and highlights its potential role as a factor in the development of DS. These slides can be retrieved under Electronic Supplementary Material.
退行性脊椎滑脱（DS）是一种脊柱退行性疾病，与其他疾病不同的是，它在女性人群中更为常见。先前的研究强调了一些可能的致病因素，如小关节偏斜和妊娠，这些是导致这种疾病的原因。本研究旨在评估腹部肌肉与 DS 之间可能存在的联系。
在单外科医生的实践中进行了一项前瞻性的横断面队列研究，评估了所有 50 岁以上因退行性腰椎脊柱疾病就诊的患者。记录了患者的人口统计学特征，以及妊娠次数、子女数量、腹部手术次数。
我们发现了 205 名符合纳入标准的患者（98 名男性/107 名女性）。有多次妊娠（p=0.036）和腹部手术史（p=0.021）的女性更容易发生 DS。有腹疝的男性更容易发生 DS（p=0.004）。
本研究强调了腹部肌肉在脊柱稳定中的重要作用，并强调了其在 DS 发展中的潜在作用。这些幻灯片可以在电子补充材料中找到。
