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Influence of Spondylolysis on Clinical Presentations in Patients With Lumbar Degenerative Disease
Background: There is insufficient current information regarding the prognosis of patients with lumbar spondylolysis when bone union is not achieved. To examine the number, age, and surgically treated levels of patients with lumbar degenerative disease who underwent lumbar spine surgery, and to compa...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863028/ https://www.ncbi.nlm.nih.gov/pubmed/33564556 http://dx.doi.org/10.7759/cureus.12570 |
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author | Aoki, Yasuchika Takahashi, Hiroshi Nakajima, Arata Inoue, Masahiro Kubota, Go Nakajima, Takayuki Sato, Yusuke Saito, Junya Nakagawa, Koichi Ohtori, Seiji |
author_facet | Aoki, Yasuchika Takahashi, Hiroshi Nakajima, Arata Inoue, Masahiro Kubota, Go Nakajima, Takayuki Sato, Yusuke Saito, Junya Nakagawa, Koichi Ohtori, Seiji |
author_sort | Aoki, Yasuchika |
collection | PubMed |
description | Background: There is insufficient current information regarding the prognosis of patients with lumbar spondylolysis when bone union is not achieved. To examine the number, age, and surgically treated levels of patients with lumbar degenerative disease who underwent lumbar spine surgery, and to compare the results between patients with spondylolysis and without spondylolysis, a cross-sectional study was performed. Methods: Patients with degenerative lumbar disease who underwent lumbar spine surgery were retrospectively reviewed (n=354). The prevalence of spondylolysis was determined using CT images. Patients were divided into a spondylolysis group and a non-spondylolysis group, and the patients’ age, sex, and surgically treated levels were compared between the two groups. Results: The prevalence of lumbar spondylolysis in the 354 patients was 6.50% (23/354). The patients’ age was significantly lower in the spondylolysis group (54.2 ± 13.5 years) than in the non-spondylolysis group (63.8 ± 14.2). The number of surgically treated levels was significantly lower in the spondylolysis group (1.33 ± 0.56 levels) than in the non-spondylolysis group (1.70 ± 0.87). The percentage of patients who underwent surgery at L5-S1 was significantly higher in the spondylolysis group; whereas the percentage of patients who underwent surgery at L3-L4 or L4-L5 was significantly higher in the non-spondylolysis group. Conclusions: Our results suggest that the presence of spondylolysis may not increase the incidence of degenerative lumbar spinal disorders requiring spinal surgery. However, spondylolysis patients frequently have severe degenerative disease at one level caudal to the spondylolysis, and infrequently have multilevel lumbar degenerative disease requiring spinal surgery. |
format | Online Article Text |
id | pubmed-7863028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-78630282021-02-08 Influence of Spondylolysis on Clinical Presentations in Patients With Lumbar Degenerative Disease Aoki, Yasuchika Takahashi, Hiroshi Nakajima, Arata Inoue, Masahiro Kubota, Go Nakajima, Takayuki Sato, Yusuke Saito, Junya Nakagawa, Koichi Ohtori, Seiji Cureus Orthopedics Background: There is insufficient current information regarding the prognosis of patients with lumbar spondylolysis when bone union is not achieved. To examine the number, age, and surgically treated levels of patients with lumbar degenerative disease who underwent lumbar spine surgery, and to compare the results between patients with spondylolysis and without spondylolysis, a cross-sectional study was performed. Methods: Patients with degenerative lumbar disease who underwent lumbar spine surgery were retrospectively reviewed (n=354). The prevalence of spondylolysis was determined using CT images. Patients were divided into a spondylolysis group and a non-spondylolysis group, and the patients’ age, sex, and surgically treated levels were compared between the two groups. Results: The prevalence of lumbar spondylolysis in the 354 patients was 6.50% (23/354). The patients’ age was significantly lower in the spondylolysis group (54.2 ± 13.5 years) than in the non-spondylolysis group (63.8 ± 14.2). The number of surgically treated levels was significantly lower in the spondylolysis group (1.33 ± 0.56 levels) than in the non-spondylolysis group (1.70 ± 0.87). The percentage of patients who underwent surgery at L5-S1 was significantly higher in the spondylolysis group; whereas the percentage of patients who underwent surgery at L3-L4 or L4-L5 was significantly higher in the non-spondylolysis group. Conclusions: Our results suggest that the presence of spondylolysis may not increase the incidence of degenerative lumbar spinal disorders requiring spinal surgery. However, spondylolysis patients frequently have severe degenerative disease at one level caudal to the spondylolysis, and infrequently have multilevel lumbar degenerative disease requiring spinal surgery. Cureus 2021-01-08 /pmc/articles/PMC7863028/ /pubmed/33564556 http://dx.doi.org/10.7759/cureus.12570 Text en Copyright © 2021, Aoki et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Aoki, Yasuchika Takahashi, Hiroshi Nakajima, Arata Inoue, Masahiro Kubota, Go Nakajima, Takayuki Sato, Yusuke Saito, Junya Nakagawa, Koichi Ohtori, Seiji Influence of Spondylolysis on Clinical Presentations in Patients With Lumbar Degenerative Disease |
title | Influence of Spondylolysis on Clinical Presentations in Patients With Lumbar Degenerative Disease |
title_full | Influence of Spondylolysis on Clinical Presentations in Patients With Lumbar Degenerative Disease |
title_fullStr | Influence of Spondylolysis on Clinical Presentations in Patients With Lumbar Degenerative Disease |
title_full_unstemmed | Influence of Spondylolysis on Clinical Presentations in Patients With Lumbar Degenerative Disease |
title_short | Influence of Spondylolysis on Clinical Presentations in Patients With Lumbar Degenerative Disease |
title_sort | influence of spondylolysis on clinical presentations in patients with lumbar degenerative disease |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863028/ https://www.ncbi.nlm.nih.gov/pubmed/33564556 http://dx.doi.org/10.7759/cureus.12570 |
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