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Spondylolisthesis in myelomeningocele
C L Stanitski1, D F Stanitski, R L LaMont
1Dept. of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit 48201.
Journal of Pediatric Orthopedics
|September 1, 1994
Summary
Spondylolisthesis is a common spinal condition in patients with myelodysplasia, affecting nearly 6% overall and over 15% with L5-S1 motor deficits. Spinal malformations like increased lordosis are frequently observed.
Area of Science:
- Orthopedics
- Neurology
- Radiology
Background:
- Myelodysplasia is a congenital condition affecting spinal development.
- Spondylolisthesis is a spinal condition characterized by vertebral slippage.
- Understanding spinal abnormalities in myelodysplasia is crucial for patient management.
Purpose of the Study:
- To determine the prevalence of spondylolisthesis in patients with myelodysplasia.
- To identify risk factors and associated spinal deformities in this population.
Main Methods:
- Retrospective review of radiographic spinal evaluations.
- Inclusion of 305 patients diagnosed with myelodysplasia.
- Analysis of spondylolisthesis percentage and correlation with motor levels and spinal curvatures.
Main Results:
- Spondylolisthesis was identified in 5.9% of patients, averaging 37.1% translation.
- Prevalence increased to 15.6% in patients with L5-S1 motor levels.
- Increased lumbar lordosis and decreased thoracic kyphosis were common findings in patients with spondylolisthesis.
Conclusions:
- Patients with myelodysplasia are susceptible to developing spondylolisthesis.
- Specific motor deficits (L5-S1) are associated with higher prevalence.
- Associated spinal curvatures may play a role in the development or progression of spondylolisthesis.