Spine update. Degenerative lumbar spondylolisthesis

Area of Science:

• Orthopedics
• Neurosurgery
• Geriatric Medicine

Background:

• Degenerative lumbar spondylolisthesis (DLS) is a prevalent spinal condition in aging populations.
• It frequently coexists with lumbar spinal stenosis, causing significant morbidity.
• Understanding the interplay between DLS and stenosis is crucial for effective management.

Purpose of the Study:

• To provide a comprehensive overview of degenerative lumbar spondylolisthesis and spinal stenosis.
• To elucidate the pathophysiology and clinical manifestations of this common spinal disorder.
• To review current nonoperative and operative treatment strategies.

Main Methods:

• Literature review of degenerative lumbar spondylolisthesis and spinal stenosis.
• Synthesis of information on pathophysiology, clinical presentation, and treatment outcomes.
• Detailed description of nonoperative and surgical interventions.

Main Results:

• Degenerative lumbar spondylolisthesis involves vertebral slippage due to facet joint degeneration.
• Spinal stenosis results from narrowing of the spinal canal, often exacerbated by spondylolisthesis.
• Treatment algorithms range from conservative measures to complex surgical decompression and fusion.

Conclusions:

• Degenerative lumbar spondylolisthesis and spinal stenosis represent a significant challenge in spine care for older adults.
• Accurate diagnosis and tailored treatment plans are essential for improving patient outcomes.
• Multidisciplinary approaches may be necessary for optimal management of complex cases.