eMedicine Specialties > Radiology > Musculoskeletal
Spondylolisthesis: Multimedia
Updated: Sep 14, 2009
Multimedia
![]() | Media file 5: Spondylolisthesis. Diagram in the oblique projection shows the components of the vertebrae that result in the appearance of a Scottie dog with a collar. |
![]() | Media file 6: Spondylolisthesis. The appearance of a Scottie dog with a collar has been outlined in the normal vertebra, with the pars defect (the collar) shown by the arrows. |
![]() | Media file 7: Spondylolisthesis. Axial CT image shows bilateral spondylolysis (arrows, same patient as in Image 6). Note elongation of the spinal canal at this level. |
![]() | Media file 8: Spondylolisthesis. Axial CT image shows bilateral spondylolysis (arrows, same patient as in Image 6). Note elongation of the spinal canal at this level. |
![]() | Media file 9: Spondylolisthesis. Sagittal CT reconstruction image shows the pars defect along with grade 1 spondylolisthesis (arrow, same patient as in Images 6-8). |
![]() | Media file 10: Spondylolisthesis. Sagittal CT reconstruction image shows the pars defect along with grade 1 spondylolisthesis (same patient as in Images 6-8). |
![]() | Media file 11: Spondylolisthesis. Sagittal CT reconstruction image shows the pars defect along with grade 1 spondylolisthesis (arrow, same patient as in Images 6-8). |
![]() | Media file 12: Spondylolisthesis. Lateral lumbar spinal radiograph in a pediatric patient shows spondylolysis with grade 1 spondylolisthesis. |
![]() | Media file 13: Spondylolisthesis. Grade 4 traumatic spondylolisthesis. |
![]() | Media file 14: Spondylolisthesis. Planar image of lumbar spine in a 14-year-old with back pain. Note hot spots at L5 in the region, where one would see the pedicles end-on on a plain radiograph. |
![]() | Media file 15: Spondylolisthesis. Axial single-photon emission CT (SPECT) image (same patient as in Image 14) shows bilateral hot spots in the pars; these indicate spondylolysis. |
![]() | Media file 16: Spondylolisthesis. Coronal single-photon emission CT (SPECT) image (same patient as in Image 14) shows bilateral hot spots in the pars; these indicate active spondylolysis. |
![]() | Media file 17: Spondylolisthesis. Sagittal single-photon emission CT (SPECT) image (same patient as in Image 14) shows hot spots in the pars; these indicate active spondylolysis. |
![]() | Media file 18: Spondylolisthesis. Sagittal single-photon emission CT (SPECT) image (same patient as in Image 14) shows hot spots in the pars; these indicate active spondylolysis. |
![]() | Media file 19: Spondylolisthesis. Sagittal single-photon emission CT (SPECT) image (same patient as in Image 14) shows hot spots in the pars; these indicate active spondylolysis. |
![]() | Media file 20: Spondylolisthesis. Sagittal single-photon emission CT (SPECT) image (same patient as in Image 14) shows hot spots in the pars; these indicate active spondylolysis. |
More on Spondylolisthesis |
| Overview: Spondylolisthesis |
| Imaging: Spondylolisthesis |
| Follow-up: Spondylolisthesis |
Multimedia: Spondylolisthesis |
| References |
| Further Reading |
| « Previous Page |
References
Canale S. Campbell's Operative Orthopedics. Vol 3. 9th ed. St Louis: Mosby-Year Book;1998.
Lawhorne TW 3rd, Girardi FP, Mina CA, Pappou I, Cammisa FP Jr. Treatment of degenerative spondylolisthesis: potential impact of dynamic stabilization based on imaging analysis. Eur Spine J. Jun 2009;18(6):815-22. [Medline].
Huang KY, Lin RM, Lee YL, Li JD. Factors affecting disability and physical function in degenerative lumbar spondylolisthesis of L4-5: evaluation with axially loaded MRI. Eur Spine J. Jun 14 2009;[Medline].
Kalanithi PS, Patil CG, Boakye M. National complication rates and disposition after posterior lumbar fusion for acquired spondylolisthesis. Spine (Phila Pa 1976). Aug 15 2009;34(18):1963-9. [Medline].
Weinstein JN, Lurie JD, Tosteson TD, Zhao W, Blood EA, Tosteson AN, et al. Surgical compared with nonoperative treatment for lumbar degenerative spondylolisthesis. four-year results in the Spine Patient Outcomes Research Trial (SPORT) randomized and observational cohorts. J Bone Joint Surg Am. Jun 2009;91(6):1295-304. [Medline].
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Dietrich M, Kurowski P. The importance of mechanical factors in the etiology of spondylolysis. Amodel analysis of loads and stresses in human lumbar spine. Spine. Jul-Aug 1985;10(6):532-42. [Medline].
Fredrickson BE, Baker D, McHolick WJ, et al. The natural history of spondylolysis and spondylolisthesis. J Bone Joint Surg Am. Jun 1984;66(5):699-707. [Medline].
Wiltse LL, Newman PH, Macnab I. Classification of spondylolisis and spondylolisthesis. Clin Orthop. Jun 1976;(117):23-9. [Medline].
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Hosoe H, Ohmori K. Degenerative lumbosacral spondylolisthesis: POSSIBLE FACTORS WHICH PREDISPOSE THE FIFTH LUMBAR VERTEBRA TO SLIP. J Bone Joint Surg Br. Mar 2008;90(3):356-9. [Medline].
Wiltse L, Rothman S. Spondylolisthesis: classification, diagnosis and natural history. Sem Spine Surg. 1989;1(2):78.
Virta L, Ronnemaa T. The association of mild-moderate isthmic lumbar spondylolisthesis and low back pain in middle-aged patients is weak and it only occurs in women. Spine. Sep 1 1993;18(11):1496-503. [Medline].
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Kovacs FM, Royuela A, Jensen TS, Estremera A, Amengual G, Muriel A, et al. Agreement in the interpretation of magnetic resonance images of the lumbar spine. Acta Radiol. Jun 2009;50(5):497-506. [Medline].
Further Reading
Clinical guideline
Diagnosis and treatment of degenerative lumbar spondylolisthesis.
North American Spine Society - Medical Specialty Society. 2008. 133 pages. NGC:006568
Clinical trials
Greenwich Lumbar Stenosis SLIP Study
SPONGIT: Comparison of Two Surgical Approaches in the Treatment of Degenerative Spondylolysthesis
Prospective Clinical Evaluation of the New Aegis Plate for Anterior Interbody Fusions
Related eMedicine topics
Back Pain, Mechanical
Lumbar Spondylosis
Lumbar Spondylolysis and Spondylolisthesis
Spondylolisthesis, Spondylolysis, and Spondylosis
Lumbosacral Spondylolisthesis
Keywords
spondylolisthesis, anterolisthesis, retrolisthesis, spondylolytic spondylolisthesis, degenerative spondylolisthesis, congenital spondylolisthesis, traumatic spondylolisthesis, pathologic spondylolisthesis








































Multimedia: Spondylolisthesis