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Concurrent Degenerative Cervical and Lumbar Spondylolisthesis

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2018, 25(4), pp.154-159
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

Moon Soo Park 1,  Hwang Jihyo 2,  김태환 1,  Jae Keun Oh 3,  장호근 1,  김형준 1,  박건태 1,  Jinkyu Lim 4,  K. Daniel Riew 5

1한림대학교 한림대학교성심병원 정형외과학교실
2한림대학교 강남성심병원 정형외과학교실
3한림대학교 한림대학교성심병원 신경외과학교실
4한림대학교 강동성심병원 정형외과학교실
5Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA

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ABSTRACT

Study Design: Retrospective radiographic study. Objective: To evaluate the characteristics of concurrent degenerative cervical and lumbar spondylolisthesis. Summary of Literature Review: Concurrent degenerative cervical and lumbar spondylotic diseases have been reported. Given that severe spondylosis can result in spondylolisthesis, one might expect that concurrent spondylolisthesis of the cervical and lumbar spines might also be prevalent. However, the incidence of spondylolistheses in the lumbar and cervical spines might differ due to anatomical differences between the 2 areas. Nonetheless, there is minimal information in the literature concerning the incidence of concurrent cervical and lumbar spondylolisthesis. Material and Methods: We evaluated standing cervical and lumbar lateral radiographs of 2510 patients with spondylosis. Concurrence, age group, gender, and direction of spondylolisthesis were evaluated. Lumbar spondylolisthesis was defined as at least Meyerding grade I and degenerative cervical spondylolisthesis was defined as over 2 mm of displacement on standing lateral radiographs. Results: Lumbar spondylolisthesis was found in 125 patients (5.0%) and cervical spondylolisthesis was found in 193 patients (7.7%). Seventeen patients had both degenerative cervical and lumbar spondylolistheses (0.7%). Lumbar spondylolisthesis is a risk factor for coexisting cervical spondylolisthesis. Lumbar spondylolisthesis was more common in females than males, independent of advancing age. In contrast, degenerative cervical spondylolisthesis was more common in older patients, independent of gender. Anterolisthesis was more common in the lumbar spine. Retrolisthesis was more common in the cervical spine. Conclusions: There was a higher prevalence of degenerative cervical spondylolisthesis in patients with degenerative lumbar spondylolisthesis.

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