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脊椎滑脱症

Spondylolisthesis.

作者信息

Li Nathan, Scofield John, Mangham Payton, Cooper Joshua, Sherman William, Kaye Alan D

机构信息

Medical College of Wisconsin.

Louisiana State University Shreveport.

出版信息

Orthop Rev (Pavia). 2022 Jul 27;14(3):36917. doi: 10.52965/001c.36917. eCollection 2022.

Abstract

Spondylolisthesis refers to the anterior, lateral, or posterior slippage of a superior vertebral disc over the adjacent inferior disc, and is often separated into categories based on the causative etiology. Spondylolisthesis is often asymptomatic but may present with low back pain and neurogenic claudication which is worsened with spinal extension and activity. A detailed history and physical exam, along with appropriate imaging tests are useful in making the diagnosis. Conservative therapy is first-line and includes pain management with physical therapy. Patients who fail conservative therapy may consider surgical decompression, stabilization, and fusion. This review aims to discuss the epidemiology, pathophysiology, presentation, and treatment options of spondylolisthesis.

摘要

椎体滑脱是指上位椎间盘相对于相邻下位椎间盘向前、向外侧或向后滑移,通常根据病因进行分类。椎体滑脱通常无症状,但可能出现下腰痛和神经源性间歇性跛行,脊柱伸展和活动时症状会加重。详细的病史和体格检查以及适当的影像学检查有助于做出诊断。保守治疗是一线治疗方法,包括通过物理治疗进行疼痛管理。保守治疗失败的患者可考虑手术减压、稳定和融合。本综述旨在讨论椎体滑脱的流行病学、病理生理学、临床表现和治疗选择。

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