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Vertebral Column: Regions and Curvature01:16

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The vertebral column or spine is a flexible column that supports the head, neck, and body and  allows for their movements. It also protects the spinal cord.
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A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous...
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[Spondylolisthesis].

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Updated: Jul 1, 2025

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[Spondylolisthesis].

M R Konieczny1, M Jäger2,3,4

  • 1Klinik für Wirbelsäulenchirurgie, Orthopädische Klinik Volmarstein, Lothar-Gau-Str. 11, 58300, Wetter (Ruhr), Deutschland. KoniecznyM@esv.de.

Schmerz (Berlin, Germany)
|March 6, 2024
PubMed
Summary
This summary is machine-generated.

Spondylolisthesis, a common cause of back pain affecting 20% of adults, requires classification for effective treatment. High-grade cases benefit from surgery, while low-grade spondylolisthesis often responds to conservative care.

Keywords:
Conservative treatmentDegenerative spondylolisthesisLumbar back painOlisthesisSurgical treatment

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Radiology

Context:

  • Spondylolisthesis affects 20% of adults, frequently causing lumbar back pain.
  • Degenerative spondylolisthesis typically occurs at L4/5 in adults.
  • Nondegenerative spondylolisthesis is most common at L5/S1.

Purpose:

  • To highlight the importance of classifying spondylolisthesis severity and type before treatment.
  • To differentiate treatment strategies based on spondylolisthesis grade.
  • To present conservative treatment outcomes for spondylolisthesis.

Summary:

  • Spondylolisthesis classification by severity and Spinal Deformity Study Group (SDSG) criteria is crucial for guiding treatment.
  • High-grade spondylolisthesis generally requires surgical intervention.
  • Low-grade spondylolisthesis has a favorable prognosis with conservative management, achieving lysis healing in about 50% of cases.

Impact:

  • Informs clinical decision-making for spondylolisthesis management.
  • Emphasizes the role of conservative treatment for low-grade spondylolisthesis.
  • Contributes to understanding the epidemiology and treatment efficacy of spondylolisthesis.