Academic Journal
An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis
| العنوان: | An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis |
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| المؤلفون: | Ilkka Helenius, Ella Virkki, Taavi Toomela, Daniel Studer, Martin Gehrchen, Matti Ahonen |
| المصدر: | Acta Orthopaedica, Vol 96 (2025) |
| بيانات النشر: | Medical Journals Sweden, 2025. |
| سنة النشر: | 2025 |
| المجموعة: | LCC:Orthopedic surgery |
| مصطلحات موضوعية: | Spine, Paediatric orthopaedics, Orthopedic surgery, RD701-811 |
| الوصف: | 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. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 17453674 1745-3674 1745-3682 |
| Relation: | https://actaorthop.org/actao/article/view/42450; https://doaj.org/toc/1745-3674; https://doaj.org/toc/1745-3682 |
| DOI: | 10.2340/17453674.2024.42450 |
| URL الوصول: | https://doaj.org/article/1aeb3b0221494e5dba70f788039d6928 |
| رقم الانضمام: | edsdoj.1aeb3b0221494e5dba70f788039d6928 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17453674 17453682 |
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| DOI: | 10.2340/17453674.2024.42450 |