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TRAUMATIC SPONDYLOLISTHESIS OF THE LUMBOSACRAL SPINE …
In Spondylolisthesis with a significant slip, a step-off at the lumbosacral junction is palpable, motion of the lumbar spine is restricted, and hamstring tightness is evident on straight leg raising. As the vertebral body displaces anteriorly, the individual assumes a lordotic posture above the level of the slip to compensate for the displacement. Adults may have objective signs of nerve root compression, such as motor weakness, reflex change, or sensory deficit. These signs are seldom seen in children.
2 Castellvi AE, Goldstein LA, Chan DPK: Lumbosacral transitional vertebra and their relationship with lumbar extradural defects. Spine 1984, 9:493-495.
Similiar X Ray Lumbar Spine L5 S1 Keywords
Clinical and imaging studies conflict as to the importance of the presence of a LSTV as it relates to symptoms and imaging findings. There are many case reports and reviews which include a variable number of patients which advocate the existence of Bertolotti’s Syndrome6-19. However many studies and commentaries do not. Brohn reported that about half of observational studies found a positive correlation between a LSTV and low back pain3. In looking at diverse studies over a long period of time, it is important to consider how a LSTV was established in the patient population as some types of imaging are more sensitive to transitional segments than others. Certainly, MRI with coronal series, a CT scan with coronal reconstructions, and a Ferguson radiographic view of the lumbar spine are more sensitive than a standard AP radiograph of the spine.
Spondylolisthesis Causes, Symptoms, Treatments - …
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