THE INCIDENCE OF SPONDYLOLYSIS AND SPONDYLOLISTHESIS IN NON-AMBULATORY PATIENTS
THE INCIDENCE OF SPONDYLOLYSIS AND SPONDYLOLISTHESIS IN NON-AMBULATORY PATIENTS
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DOI：
10.1097/00007632-198101000-00005
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发表时间：
1981-01-01
期刊：
影响因子：
3
通讯作者：
FRIEDMAN, B
中科院分区：
文献类型：
--
作者：
ROSENBERG, NJ;BARGAR, WL;FRIEDMAN, B
对143名从未行走的患者进行了腰骶椎X线片检查。确定椎弓峡部裂、脊椎滑脱和其他脊柱异常的发生率。年龄11-93岁，平均27岁。导致卧床状态的基础诊断各不相同，但以脑瘫为主。未发现椎弓峡部裂或脊椎滑脱病例，与一般人群的5.8%发生率相比，这一发现具有显著性P < 0.001。脊柱裂（8.4%）和移行椎（10.9%）的发病率与一般人群相似。脊柱侧弯49%，椎体高度增加32.9%。仅2.8%发生退行性改变。显然，椎弓峡部裂和峡部裂性脊椎前移是由与肩关节相关的活动引起的疲劳性骨折。
Radiographs were obtained of the lumbosacral spines of 143 patients who never walked. Frequencies of spondylolysis, spondylolisthesis and other spinal abnormalities were determined. The average age of the patients was 27 yr, with a range of 11-93 yr. Underlying diagnoses responsible for the nonambulatory status varied, but cerebral palsy predominated. No case of spondylolysis or spondylolisthesis was detected, and when compared to the 5.8% incidence in the general population, this finding is significant at the P < 0.001 level. Incidences of spina bifida (8.4%) and of transitional vertebrae (10.9%) are similar to those in the general population. Scoliosis was found in 49% and vertebral body height was increased in 32.9%. Degenerative changes occurred in only 2.8%. Apparently, spondylolysis and isthmic spondylolisthesis represent a fatigue fracture resulting from activities associated with ambulation.