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Development of spondylolisthesis after growth arrest

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Résumé

A partir de trois observations de spondylolisthésis d'installation tradive, postpubertaire, les auteurs discutent les divers facteurs pathogéniques de l'instabilité lombaire chez l'adulte. Une classification basée sur des critères fonctionnels et morphologiques permet de séparer clairement les véritables spondylolisthésis traumatiques des autres formes engendrant l'instabilité du segment mobile lombaire (avec spondylolisthésis). L'éventualité de la survenue d'un spondylolisthésis même après l'arrêt de la croissance est ici démontrée. Les auteurs discutent les conséquences de cette notion pour l'évaluation et proposent une possibilité thérapeutique chirurgicale.

Summary

Based on the observation of three clinical cases of late onset (after growth arrest) spondylolisthesis, the different pathogenetic factors for lumbar instability in adulthood are discussed. A causal classification based on functional and morphological criteria clearly separates the “genuine” traumatic spondylolisthesis from other forms causing instability (with spondylolysis) within a lumbar motion segment. The possibility of developing spondylolisthesis even after growth arrest is hereby proven. Consequences for appraisal procedures are discussed, and an example for possible surgical management is given.

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Authors and Affiliations

  1. Orthopädische Klinik der Philipps-Universität, Baldingerstraße, W-3550, Marburg/Lahn, Federal Republic of Germany

    M. Pfeiffer, P. Griss & P. Schuler

Authors
  1. M. Pfeiffer
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  2. P. Griss
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  3. P. Schuler
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Pfeiffer, M., Griss, P. & Schuler, P. Development of spondylolisthesis after growth arrest. Eur Spine J 1, 49–52 (1992). https://doi.org/10.1007/BF00302143

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  • DOI: https://doi.org/10.1007/BF00302143

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