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Published on: November 8, 2024
Development of spondylolisthesis after growth arrest
M Pfeiffer1, P Griss, P Schuler
1Orthopädische Klinik der Philipps-Universität, Marburg/Lahn, Federal Republic of Germany.
Summary
Late-onset spondylolisthesis can develop after growth arrest due to various pathogenetic factors. This study classifies these causes, distinguishing traumatic spondylolisthesis from instability with spondylolysis.
Area of Science:
- Spine surgery
- Orthopedics
- Clinical biomechanics
Background:
- Lumbar instability in adulthood can stem from various pathogenetic factors.
- Understanding these factors is crucial for accurate diagnosis and treatment.
Observation:
- Three clinical cases of late-onset spondylolisthesis (occurring after growth arrest) were observed.
- These cases highlight the potential for spondylolisthesis development post-skeletal maturity.
Findings:
- A causal classification system for lumbar instability was developed, based on functional and morphological criteria.
- This classification differentiates "genuine" traumatic spondylolisthesis from instability associated with spondylolysis.
Implications:
- The study confirms that spondylolisthesis can manifest after growth has ceased.
- Findings have consequences for medico-legal appraisal procedures and inform surgical management strategies.
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