Konieczny M R, Jäger M
Klinik für Wirbelsäulenchirurgie, Orthopädische Klinik Volmarstein, Lothar-Gau-Str. 11, 58300, Wetter (Ruhr), Deutschland.
Lehrstuhl für Orthopädie und Unfallchirurgie, Universität Duisburg-Essen, Essen, Deutschland.
Orthopadie (Heidelb). 2023 Nov;52(11):931-940. doi: 10.1007/s00132-023-04443-w. Epub 2023 Oct 4.
Spondylolisthesis is a frequent disease that is found in 20% of the adult population and is particularly accompanied by lumbar back pain. Degenerative spondylolisthesis develops in adulthood and is most often found in the L4/5 segment, in contrast to nondegenerative spondylolisthesis which is most often situated in the L5/S1 segment. Prior to every treatment the heterogeneous disease pattern has to be classified according to the severity grade of the olisthesis and to the Spinal Deformity Study Group (SDSG) classification. High-grade spondylolisthesis should preferably be surgically treated and low-grade spondylolisthesis should preferably be treated conservatively. In approximately 50% of all recently acquired spondylolistheses healing of the lysis can be achieved by a consequently carried out conservative treatment.
腰椎滑脱是一种常见疾病，在20%的成年人群中被发现，尤其伴有腰痛。退行性腰椎滑脱在成年期发病，最常发生于L4/5节段，而非退行性腰椎滑脱最常位于L5/S1节段。在每次治疗前，必须根据滑脱的严重程度等级和脊柱畸形研究组（SDSG）分类对这种异质性疾病模式进行分类。高度腰椎滑脱最好采用手术治疗，低度腰椎滑脱最好采用保守治疗。在所有最近发生的腰椎滑脱中，约50%通过持续进行保守治疗可实现峡部裂愈合。
