Top

European Spine Journal

Published in:

01-09-2014 | Original Article

Anatomical parameters of fifth lumbar vertebra in L5–S1 spondylolytic spondylolisthesis from a surgical point of view

Authors: Hong-June Choi, Jeong-Yoon Park, Dong-Kyu Chin, Keun-Su Kim, Yong-Eun Cho, Sung-Uk Kuh

Published in: European Spine Journal | Issue 9/2014

Abstract

Purpose

We measured the length, width, height, and angles related to both Meyerding grading system and Marchetti–Bartolozzi classification in L5–S1 spondylolytic spondylolisthesis patients to investigate the anatomical characteristics of fifth lumbar pedicles.

Methods

Seventy patients with L5–S1 spondylolytic spondylolisthesis and general spinal disease were included. Patient attributes, Meyerding grading system and Marchetti–Bartolozzi classification of spondylolisthesis, length, width, height of L4 and L5 pedicle, and the angle between pedicle and vertebral midline were measured. The heights of L5 vertebral body, divided as anterior, mid, and posterior were also measured.

Results

The pedicle is elongated and the angle of the pedicle is wider in cases of L5–S1 spondylolysis. Vertebral body shape was more posteriorly wedged in L5–S1 spondylolysis. Pedicles were more narrow and shorter in L5–S1 spondylolysis.

Conclusions

In L5–S1 spondylolytic spondylolisthesis, a longer screw is suitable for insertion of L5 pedicle and the screw should be inserted more medially compared to patients without spondylolysis.

Bajwa NS, Toy JO, Ahn NU (2012) L5 pedicle length is increased in subjects with spondylolysis: an anatomic study of 1072 cadavers. Clin Orthop Relat Res. doi:10.1007/s11999-012-2439-8

Been E, Li L, Hunter DJ, Kalichman L (2011) Geometry of the vertebral bodies and the intervertebral discs in lumbar segments adjacent to spondylolysis and spondylolisthesis: pilot study. Eur Spine J 20:1159–1165. doi:10.1007/s00586-010-1660-y PubMedCentralCrossRefPubMed

Ergun T, Sahin MS, Lakadamyali H (2011) Evaluation of the relationship between L5–S1 spondylolysis and isthmic spondylolisthesis and lumbosacral-pelvic morphology by imaging via 2- and 3-dimensional reformatted computed tomography. J Comput Assist Tomogr 35:9–15. doi:10.1097/RCT.0b013e3181f08947 CrossRefPubMed

Esses SI, Sachs BL, Dreyzin V (1993) Complications associated with the technique of pedicle screw fixation. A selected survey of ABS members. Spine (Phila Pa 1976) 18:2231–2238 (discussion 2238–2239)CrossRef

Freeman BJ, Licina P, Mehdian SH (2000) Posterior lumbar interbody fusion combined with instrumented postero-lateral fusion: 5-year results in 60 patients. Eur Spine J 9:42–46PubMedCentralCrossRefPubMed

Haun DW, Kettner NW (2005) Spondylolysis and spondylolisthesis: a narrative review of etiology, diagnosis, and conservative management. J Chiropr Med 4:206–217. doi:10.1016/S0899-3467(07)60153-0 PubMedCentralCrossRefPubMed

Jutte PC, Castelein RM (2002) Complications of pedicle screws in lumbar and lumbosacral fusions in 105 consecutive primary operations. Eur Spine J 11:594–598. doi:10.1007/s00586-002-0469-8 CrossRefPubMed

Kalichman L, Kim DH, Li L, Guermazi A, Berkin V, Hunter DJ (2009) Spondylolysis and spondylolisthesis: prevalence and association with low back pain in the adult community-based population. Spine (Phila Pa 1976) 34:199–205. doi:10.1097/BRS.0b013e31818edcfd CrossRef

Kaplan KM, Spivak JM, Bendo JA (2005) Embryology of the spine and associated congenital abnormalities. Spine J 5:564–576. doi:10.1016/j.spinee.2004.10.044 CrossRefPubMed

10.

Madan S, Boeree NR (2002) Outcome of posterior lumbar interbody fusion versus posterolateral fusion for spondylolytic spondylolisthesis. Spine (Phila Pa 1976) 27:1536–1542CrossRef

11.

Masharawi Y (2012) Lumbar shape characterization of the neural arch and vertebral body in spondylolysis: a comparative skeletal study. Clin Anat 25:224–230. doi:10.1002/ca.21203 CrossRefPubMed

12.

Mehta JS, Kochhar S, Harding IJ (2012) A slip above a slip: retrolisthesis of the motion segment above a spondylolytic spondylolisthesis. Eur Spine J 21:2128–2133. doi:10.1007/s00586-012-2239-6 PubMedCentralCrossRefPubMed

13.

Okuda S, Miyauchi A, Oda T, Haku T, Yamamoto T, Iwasaki M (2006) Surgical complications of posterior lumbar interbody fusion with total facetectomy in 251 patients. J Neurosurg Spine 4:304–309. doi:10.3171/spi.2006.4.4.304 CrossRefPubMed

14.

Okuyama K, Abe E, Suzuki T, Tamura Y, Chiba M, Sato K (1999) Posterior lumbar interbody fusion: a retrospective study of complications after facet joint excision and pedicle screw fixation in 148 cases. Acta Orthop Scand 70:329–334CrossRefPubMed

15.

Pawar A, Labelle H, Mac-Thiong JM (2012) The evaluation of lumbosacral dysplasia in young patients with lumbosacral spondylolisthesis: comparison with controls and relationship with the severity of slip. Eur Spine J 21:2122–2127. doi:10.1007/s00586-012-2181-7 PubMedCentralCrossRefPubMed

16.

Porter RW, Hibbert CS (1984) Symptoms associated with lysis of the pars interarticularis. Spine (Phila Pa 1976) 9:755–758CrossRef

17.

Rankine JJ, Dickson RA (2010) Unilateral spondylolysis and the presence of facet joint tropism. Spine (Phila Pa 1976) 35:E1111–E1114. doi:10.1097/BRS.0b013e3181de8b72 CrossRef

18.

Steinmann JC, Herkowitz HN, el-Kommos H, Wesolowski DP (1993) Spinal pedicle fixation. Confirmation of an image-based technique for screw placement. Spine (Phila Pa 1976) 18:1856–1861CrossRef

19.

Suk SI, Lee CK, Kim WJ, Lee JH, Cho KJ, Kim HG (1997) Adding posterior lumbar interbody fusion to pedicle screw fixation and posterolateral fusion after decompression in spondylolytic spondylolisthesis. Spine (Phila Pa 1976) 22:210–219 (discussion 219-220)CrossRef

20.

Vaccaro AR, Rizzolo SJ, Allardyce TJ et al (1995) Placement of pedicle screws in the thoracic spine. Part I: morphometric analysis of the thoracic vertebrae. J Bone Joint Surg Am 77:1193–1199PubMed

21.

Wiltse LL, Newman PH, Macnab I (1976) Classification of spondylolysis and spondylolisthesis. Clin Orthop Relat Res: 23-29

Title: Anatomical parameters of fifth lumbar vertebra in L5–S1 spondylolytic spondylolisthesis from a surgical point of view
Authors: Hong-June Choi
Jeong-Yoon Park
Dong-Kyu Chin
Keun-Su Kim
Yong-Eun Cho
Sung-Uk Kuh
Publication date: 01-09-2014
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 9/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-013-3111-z

At a glance: The STEP trials

Springer Medicine

Anatomical parameters of fifth lumbar vertebra in L5–S1 spondylolytic spondylolisthesis from a surgical point of view

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 9/2014

Public and private health service in Norway: a comparison of patient characteristics and surgery criteria for patients with nerve root affections due to discus herniation

The comparison of instrumented and non-instrumented fusion in the treatment of lumbar spondylolisthesis: a meta-analysis

A case study using total en bloc sacrectomy and neuroanastomosis for sacral tumor

Letter to the Editor concerning “Comparison of blood loss according to use of aspirin in lumbar fusion patients” (by Park HJ, Kwon KY, Woo JH (2014) Eur Spine J. doi:10.1007/s00586-014-3294-y)

Letter to the Editor concerning “Calculation of corrected body height in idiopathic scoliosis: comparison of four methods” by M. Tyrakowski et al. (Eur Spine J, doi:10.1007/s00586-014-3275-1)

Reply to the Letter to the Editor of J. Padulo et al. concerning “Calculation of corrected body height in idiopathic scoliosis: comparison of four methods” by M. Tyrakowski et al. (Eur Spine J, DOI 10.1007/s00586-014-3275-1)