European Radiology

, Volume 24, Issue 2, pp 441–448

Prevalence and risk factors of lumbar spondylolisthesis in elderly Chinese men and women

  • Lai-Chang He
  • Yi-Xiang J Wang
  • Jing-Shan Gong
  • James F Griffith
  • Xian-Jun Zeng
  • Anthony WL Kwok
  • Jason CS Leung
  • Timothy Kwok
  • Anil T Ahuja
  • Ping Chung Leung
Musculoskeletal

DOI: 10.1007/s00330-013-3041-5

Cite this article as:
He, LC., Wang, YX.J., Gong, JS. et al. Eur Radiol (2014) 24: 441. doi:10.1007/s00330-013-3041-5

Abstract

Objective

A screening survey for osteoporotic fractures in men and women in Hong Kong represents the first large-scale prospective population-based study on bone health in elderly (≥65 years) Chinese men and women. This study aims to identify the prevalence and potential risk factors of lumbar spondylolisthesis in these subjects.

Methods

The lateral lumbar radiographs of 1,994 male and 1,996 female patients were analysed using the Meyerding classification.

Results

Amongst the men, 380 (19.1 %) had at least one spondylolisthesis and 43 (11.3 %) had slips at two or more levels; 283 had anterolisthesis, 85 had retrolisthesis, whereas 12 subjects had both anterolisthesis and retrolisthesis. Amongst the women, 499 (25.0 %) had at least one spondylolisthesis and 69 (13.8 %) had slips at two or more levels; 459 had anterolisthesis, 34 had retrolisthesis, whereas 6 subjects had both anterolisthesis and retrolisthesis. Advanced age, short height, higher body mass index (BMI), higher bone mineral density (BMD) and degenerative arthritis are associated with spondylolisthesis. Lower Physical Activity Scale for the Elderly (PASE) score was associated with spondylolisthesis in men; higher body weight, angina and lower grip strength were associated with spondylolisthesis in women.

Conclusion

The male/female ratio of lumbar spondylolisthesis prevalence was 1:1.3 in elderly Chinese. Men are more likely to have retrolisthesis.

Key Points

• The prevalence of spondylolisthesis is 19.1 % in elderly Chinese men.

• The prevalence of spondylolisthesis is 25.0 % in elderly Chinese women.

• Men are more likely to have retrolisthesis.

• Anterolisthesis is most commonly seen at the L4/L5 level.

• Retrolisthesis is most commonly seen at the L3/L4 level.

Keywords

PrevalenceRisk factorsSpondylolisthesisChineseVertebrae

Copyright information

© European Society of Radiology 2013

Authors and Affiliations

  • Lai-Chang He
    • 1
    • 4
  • Yi-Xiang J Wang
    • 1
  • Jing-Shan Gong
    • 5
  • James F Griffith
    • 1
  • Xian-Jun Zeng
    • 1
    • 2
  • Anthony WL Kwok
    • 1
    • 2
  • Jason CS Leung
    • 2
  • Timothy Kwok
    • 2
    • 3
  • Anil T Ahuja
    • 1
  • Ping Chung Leung
    • 2
  1. 1.Department of Imaging and Interventional RadiologyThe Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New TerritoriesHong Kong SARChina
  2. 2.Jockey Club Centre for Osteoporosis Care and Control, School of Public Health and Primary CareThe Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New TerritoriesHong Kong SARChina
  3. 3.Department of Medicine and TherapeuticsThe Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New TerritoriesHong Kong SARChina
  4. 4.Department of RadiologyThe First Affiliated Hospital of Nanchang UniversityNanchangChina
  5. 5.Department of Radiology, Shenzhen People’s HospitalJinan University Second Clinical Medical CollegeShenzhenChina