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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.
Abstract:
Based on the observation of three clinical cases of late onset (after growth arrest) spondylolisthesis, the different pathogenetic factors for lumbar instability in adulthood are discussed. A causal classification based on functional and morphological criteria clearly separates the "genuine" traumatic spondylolisthesis from other forms causing instability (with spondylolysis) within a lumbar motion segment. The possibility of developing spondylolisthesis even after growth arrest is hereby proven. Consequences for appraisal procedures are discussed, and an example for possible surgical management is given.
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