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L5 spondylolysis/spondylolisthesis: a comprehensive review with an anatomic focus
Paul Foreman1, Christoph J Griessenauer, Koichi Watanabe
1Children's Hospital, ACC 400, 1600 7th Ave South, Birmingham, AL 35233, USA.
Introduction:
Spondylolysis is most commonly observed in the lumbar spine, particularly L5, and is associated with spondylolisthesis, or anterior "slippage" of a vertebra in relation to an adjacent vertebra. Isthmic spondylolisthesis is the result of a pars interarticularis defect and will be the only type of spondylolisthesis addressed in this review.
Conclusions:
Spondylolysis and spondylolisthesis represent a relatively common cause of low back pain, especially in young athletes, and a less common cause of neurologic compromise. When discovered in a symptomatic patient with corroborating imaging findings, early intervention provides an excellent prognosis. Herein, we review the anatomy and pathology of spondylosis and spondylolisthesis of the L5 vertebra.
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