Radiographic comparison between male and female patients with lumbar spondylolysis

Autor: Junji Ueno, Tadashi Kondo, Shoichiro Takao, Natsuo Yasui, Toshinori Sakai, Koichi Sairyo, Hiromu Nishitani
Rok vydání: 2010
Předmět:
Zdroj: The Journal of Medical Investigation. 57:133-137
ISSN: 1349-6867
1343-1420
DOI: 10.2152/jmi.57.133
Popis: We studied the lumbar spines of 117 adults (39 women and 78 men) with spondylolysis unrelated to low back pain using multidetector computed tomography (CT). Of the 117 subjects with spondylolysis, including five with multiple-level spondylolysis, there were 124 vertebrae with spondylolysis. In adult lumbar spines with unilateral spondylolysis, there was no significant difference between the incidence of spondylolisthesis in female and male subjects. However, in those with bilateral spondylolysis, there was a significantly higher incidence of spondylolisthesis in female subjects (90.9%) than in males (66.2%). Furthermore, females with bilateral spondylolysis had significant more slippage than males. Lumbar index and lumbar lordosis were not significantly different between male and female subjects, and did not significantly correlate with slippage. In conclusion, to treat acute spondylolysis in adolescents, it is important to obtain bony union at least unilaterally, especially in female subjects, to prevent further slippage.
Databáze: OpenAIRE