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L5 spondylolysis/spondylolisthesis: a comprehensive review with an anatomic focus

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Abstract

Introduction

Spondylolysis is most commonly observed in the lumbar spine, particularly L5, and is associated with spondylolisthesis, or anterior “slippage” of a vertebra in relation to an adjacent vertebra. Isthmic spondylolisthesis is the result of a pars interarticularis defect and will be the only type of spondylolisthesis addressed in this review.

Conclusions

Spondylolysis and spondylolisthesis represent a relatively common cause of low back pain, especially in young athletes, and a less common cause of neurologic compromise. When discovered in a symptomatic patient with corroborating imaging findings, early intervention provides an excellent prognosis. Herein, we review the anatomy and pathology of spondylosis and spondylolisthesis of the L5 vertebra.

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  1. Children’s Hospital, ACC 400, 1600 7th Ave South, Birmingham, AL, 35233, USA

    Paul Foreman, Christoph J. Griessenauer, Koichi Watanabe, Michael Conklin, Mohammadali M. Shoja, Curtis J. Rozzelle & R. Shane Tubbs

  2. Department of Anatomy, St. George’s University, St. George’s, Grenada

    Marios Loukas

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  1. Paul Foreman
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Foreman, P., Griessenauer, C.J., Watanabe, K. et al. L5 spondylolysis/spondylolisthesis: a comprehensive review with an anatomic focus. Childs Nerv Syst 29, 209–216 (2013). https://doi.org/10.1007/s00381-012-1942-2

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