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Occupational spondylolysis and spondylolisthesis
Bailliere'S Clinical Rheumatology
|April 1, 1989
Summary
Spondylolysis and spondylolisthesis, common causes of low back pain, can be effectively treated with surgery. This procedure allows most patients, including athletes, to return to strenuous activities and manual labor.
Area of Science:
- Orthopedics
- Sports Medicine
- Spinal Surgery
Background:
- Spondylolysis and spondylolisthesis are frequent causes of low back pain and sciatica.
- Incidence is rising in competitive athletes due to high lumbar spine stress.
- Neural arch dysplasia and genetics may predispose individuals to these conditions.
Purpose of the Study:
- To evaluate the efficacy of surgical screw fixation for isthmic spondylolysis and mild spondylolisthesis.
- To assess patient outcomes, including return to work and sports.
Main Methods:
- A surgical technique involving screw fixation of the defect.
- Analysis of patient outcomes, focusing on recovery and return to activity.
Main Results:
- The surgical procedure effectively treats isthmic spondylolysis and mild spondylolisthesis (≤10 mm).
- Younger patients generally experience better surgical outcomes.
- The operation enables patients to withstand significant lumbar spine loading.
Conclusions:
- Surgical screw fixation is a satisfactory treatment for specific types of spondylolysis and spondylolisthesis.
- Patients can typically resume demanding work and athletic activities post-surgery.
- Early surgical intervention in younger patients may lead to superior results.