Global spinal motion in subjects with lumbar spondylolysis and spondylolisthesis: does the grade or type of slip affect global spinal motion?

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Abstract

[Indexed for MEDLINE] 3. Clin Orthop Relat Res. 2005 May;(434):46-54. doi: 10.1097/01.blo.0000162992.25677.7b. Spondylolysis and spondylolisthesis in the child and adolescent: a new classification. Herman MJ(1), Pizzutillo PD. Author information: (1)Drexel University College of Medicine and St. Christopher's Hospital for Children, Philadelphia, PA, USA. Martin1.Herman@tenethealth.com Spondylolysis and spondylolisthesis commonly are diagnosed in children and adolescents. The diagnostic workup and treatment plan vary widely among physicians. Although the orthopaedic literature is extensive on the topic, it is our opinion that a lack of clarity exists with regards to etiology, terminology, subtypes of spondylolysis and spondylolisthesis, and treatment. Important basic principles regarding spondylolysis and spondylolisthesis, with emphasis on clinical evaluation and nonsurgical treatment, serve as the basis for a new classification. We propose a new classification for pediatric spondylolysis and spondylolisthesis that is comprehensive, simple, and easily applied. This scheme is based on clinical presentation and spinal morphology and is more appropriate for the child and adolescent than the existing classification schemes of Wiltse-Newman and Marchetti-Bartolozzi. Algorithms for evaluation and treatment of spondylolysis and spondylolisthesis in children and adolescents, based on this new classification, are presented. DOI: 10.1097/01.blo.0000162992.25677.7b