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Related Experiment Videos

Disc damage above a spondylolisthesis.

J Henson, I W McCall, J P O'Brien

    The British Journal of Radiology
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Low back pain patients with spondylolisthesis often have L4/L5 retrolisthesis. Disc damage at L4/L5 correlated with pain reproduction during discography, suggesting its role in low back pain.

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    Area of Science:

    • Orthopedics
    • Neurosurgery
    • Radiology

    Background:

    • Low back pain is a common condition.
    • Spondylolisthesis, a spinal condition, can cause significant pain.
    • The L4/L5 and L5/S1 spinal levels are frequently affected.

    Purpose of the Study:

    • To investigate the prevalence of L4/L5 retrolisthesis in patients with L5/S1 spondylolisthesis.
    • To determine the relationship between retrolisthesis, spondylolisthesis grade, and disc damage.
    • To assess the correlation between disc damage, pain reproduction during discography, and discographic appearances.

    Main Methods:

    • Fifty-two patients with low back pain and L5/S1 spondylolisthesis underwent discography at the L4/L5 level.
    • Retrolisthesis at L4/L5 was assessed.

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  • Pain reproduction and nuclear morphology changes during discography were recorded and correlated with imaging findings.

    • Main Results:

    • Retrolisthesis at L4/L5 was observed in 44% of patients.
    • No direct relationship was found between retrolisthesis extent and spondylolisthesis grade or disc damage.
    • An inverse relationship existed between spondylolisthesis severity and L4/L5 disc damage.
    • Of 36 patients assessed for pain, 11 (50%) with disc damage reported pain reproduction during discography.

    Conclusions:

    • L4/L5 retrolisthesis is common in patients with L5/S1 spondylolisthesis.
    • Disc damage at L4/L5, identified via discography, is associated with symptomatic pain reproduction.
    • Discography is a valuable tool for evaluating pain generators in the lumbar spine.