Retrolisthesis treatment emedicine
It is mainly found in the cervical spine and lumbar region or, more rarely, in the thoracic spine. Retrolisthesis can occur from degenerative changes in the spine, or it can be caused by trauma. It is a painful condition that negatively affects the quality of life of the sufferer. The treatment will vary according to the doctor treating it as well. Spondylolisthesis refers to the forward slippage of one vertebral body with respect to the one beneath it.
This most commonly occurs at the lumbosacral junction with L5 slipping over S1, but it can occur at higher levels as well. The term spondylolisthesis was coined by Killian in 1854 to describe gradual slippage of the L5 vertebra due to gravity and posture. In 1858, Lambi demonstrated the neural arch defect (absence or elongationNot to be confused with spondylosis, spondylitis, spondylolysis, or Slipped disk. Spondylolisthesis is a descriptive term referring to slippage (usually forward) of a vertebra and the spine above it relative to the vertebra below it.A grading system of spondylolisthesis is shown in the image below.
Spondylolisthesis. Diagram shows how to grade spondylolisthesis. The 2 arrows, one indicating vertebral body width and the other indicating the amount of slippage that has occurred, represent the measurements needed. The ratio of amount of slippage to vertebral-body width is obtained as a percentage. Grade 1 is a ratio of 0-25%, grade 2 is 25-50%, grade 3 is 50-75%, and grade 4 is 75-100%. Views, where care has been taken to expose for a true lateral view without any rotation, offer the best diagnostic quality.Retrolistheses are found most prominently in the cervical spine and lumbar region but can also be seen in the thoracic area.
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