Spondylolysis and Spondylolisthesis

  • Antonio Gonzalez FiolEmail author


  1. 1.

    Spondylolysis is a defect in the pars interarticularis of the vertebra. This defect usually involves the L5 vertebra (95%) [1]. “Spondylo” derives from the Greek word for vertebra, and “lysis” refers to a defect [2] (see Fig. 148.1).

  2. 2.

    Spondylolisthesis is defined as a forward slip of the vertebrae relative to the one below with or without an accompanying pars defect. “Olisthesis” is the Greek word for slippage [2]. The displacement of the vertebra could be secondary to one of the following: a congenital defect, spondylolysis (isthmic spondylolisthesis), degeneration of facet joints and/or intervertebral disk degeneration (degenerative spondylolisthesis), trauma, or pathologic [1].

  3. 3.

    Only a subset of patients with spondylolysis will have progression to spondylolisthesis if bilateral defects are present [3].



Wiltse classification Isthmic spondylolisthesis Degenerative spondylolisthesis Anesthetic management of spondylolysis and spondylolisthesis Pars interarticularis defect 


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of AnesthesiologyYale University School of MedicineNew HavenUSA

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