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Related Experiment Videos

Standing roentgenograms in spondylolisthesis.

R W Lowe, T D Hayes, J Kaye

    Clinical Orthopaedics and Related Research
    |June 1, 1976
    PubMed
    Summary

    Standing lateral roentgenograms reveal increased spondylolisthesis displacement in 26% of patients, correlating with severe symptoms. This highlights the importance of positional imaging for accurate diagnosis and management of spinal conditions.

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    Area of Science:

    • Orthopedics
    • Radiology
    • Spine Surgery

    Background:

    • Spondylolisthesis, a spinal condition, involves vertebral slippage.
    • Accurate diagnosis is crucial for effective patient management.
    • Positional changes can influence the manifestation of spinal pathologies.

    Observation:

    • Lateral roentgenograms of 50 spondylolisthesis patients were compared between recumbent and standing positions.
    • Changes in vertebral displacement were noted in a subset of patients when transitioning from lying down to standing.

    Findings:

    • Twenty-six percent (13/50) of patients exhibited increased spondylolisthesis displacement in the standing position.
    • Patients with demonstrable positional displacement showed a higher incidence of severe symptomatology.

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  • Apparent spondylolysis in recumbent views may represent true spondylolisthesis when standing.

    • Implications:

    • Standing lateral roentgenograms are essential for accurately assessing spondylolisthesis severity.
    • Positional imaging can reveal instability not evident in recumbent views.
    • This technique may improve the identification of patients requiring intervention for symptomatic spondylolisthesis.