An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis
Spondylolysis is defined as a defect or elongation in the pars interarticularis of the lumbar spine, either unilateral or bilateral. Growing children with bilateral spondylolysis may develop spondylolisthesis, i.e., forward slipping of the affected vertebra. The etiology of spondylolysis is regarde...
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| Language: | English |
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Medical Journals Sweden
2025-01-01
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| Series: | Acta Orthopaedica |
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| Online Access: | https://actaorthop.org/actao/article/view/42450 |
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| author | Ilkka Helenius Ella Virkki Taavi Toomela Daniel Studer Martin Gehrchen Matti Ahonen |
| author_facet | Ilkka Helenius Ella Virkki Taavi Toomela Daniel Studer Martin Gehrchen Matti Ahonen |
| author_sort | Ilkka Helenius |
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Spondylolysis is defined as a defect or elongation in the pars interarticularis of the lumbar spine, either unilateral or bilateral. Growing children with bilateral spondylolysis may develop spondylolisthesis, i.e., forward slipping of the affected vertebra. The etiology of spondylolysis is regarded as a stress fracture due to repetitive loading associated with a genetic predisposition. Lumbar magnetic resonance imaging (MRI) shows an increased signal intensity before an actual fracture line develops. In low grade spondylolisthesis, two-thirds of children with acute pediatric spondylolysis will undergo bony union with early activity restriction. Health-related quality of life is improved in patients achieving bony union as compared with patients having non-union, of which one-fourth will additionally develop spondylolisthesis. In patients with high-grade spondylolisthesis, defined as a more than 50% forward slippage of the affected vertebra, spinal fusion is recommended to prevent further progression.
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| format | Article |
| id | doaj-art-1aeb3b0221494e5dba70f788039d6928 |
| institution | Kabale University |
| issn | 1745-3674 1745-3682 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Orthopaedica |
| spelling | doaj-art-1aeb3b0221494e5dba70f788039d69282025-01-13T16:45:33ZengMedical Journals SwedenActa Orthopaedica1745-36741745-36822025-01-019610.2340/17453674.2024.42450An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesisIlkka Helenius0https://orcid.org/0000-0001-5200-3279Ella Virkki1https://orcid.org/0000-0002-4516-5875Taavi Toomela2Daniel Studer3Martin Gehrchen4Matti Ahonen5https://orcid.org/0000-0002-0330-5032Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki; Department of Paediatric Surgery, Orthopaedics and Traumatology, University of Turku and Turku University Hospital, FinlandDepartment of Paediatric Surgery, Orthopaedics and Traumatology, University of Turku and Turku University Hospital, FinlandEast Tallinn Central Hospital, Tallinn, EstoniaDepartment of Orthopaedic Surgery, University Children’s Hospital Basel, Basel, SwitzerlandDepartment of Orthopaedic Surgery, Rigshospitalet and University of Copenhagen, Copenhagen, DenmarkHelsinki New Children’s Hospital, Helsinki University Hospital, Helsinki, Finland Spondylolysis is defined as a defect or elongation in the pars interarticularis of the lumbar spine, either unilateral or bilateral. Growing children with bilateral spondylolysis may develop spondylolisthesis, i.e., forward slipping of the affected vertebra. The etiology of spondylolysis is regarded as a stress fracture due to repetitive loading associated with a genetic predisposition. Lumbar magnetic resonance imaging (MRI) shows an increased signal intensity before an actual fracture line develops. In low grade spondylolisthesis, two-thirds of children with acute pediatric spondylolysis will undergo bony union with early activity restriction. Health-related quality of life is improved in patients achieving bony union as compared with patients having non-union, of which one-fourth will additionally develop spondylolisthesis. In patients with high-grade spondylolisthesis, defined as a more than 50% forward slippage of the affected vertebra, spinal fusion is recommended to prevent further progression. https://actaorthop.org/actao/article/view/42450SpinePaediatric orthopaedics |
| spellingShingle | Ilkka Helenius Ella Virkki Taavi Toomela Daniel Studer Martin Gehrchen Matti Ahonen An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis Acta Orthopaedica Spine Paediatric orthopaedics |
| title | An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis |
| title_full | An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis |
| title_fullStr | An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis |
| title_full_unstemmed | An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis |
| title_short | An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis |
| title_sort | acta orthopaedica educational article treatment of pediatric spondylolysis and spondylolisthesis |
| topic | Spine Paediatric orthopaedics |
| url | https://actaorthop.org/actao/article/view/42450 |
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