Journal List > J Korean Radiol Soc > v.19(4) > 1137365

Bae, Jo, Chung, Choi, and Kim: Radiological observation of the spondylolisthesis - The comparison between L4-L5 and L5-S1 spondylolisthesis inplain film and myelographic of finding

Abstract

Spondylolisthesis is displacement of one vertebra upon the other with bony defect of neural arch or elongationof the pars interarticularis. Radilogical findings of 35 confirmed cases of spondylolisthesis on plain film andmyelogram were reviewed. We also compared the size and contour of slipped vertebra, and myelographic findingsbetween L4-L5(12 cases ) and L5-S1(23 cases )listhesis. The results were as follows; 1. Average of posteriorwedging index of the body, foreward displacement, narrowing of intervertebral disc space and the degenerativechanges are more severe in L5-S1 spondylolisthesis. 2. Hypoplastic changes of slipped vertebra are more severe inl5-S1 listhesis. 3. Incidence of spina bifida is not co-related between l4-L5 and L5-S1 listhesis, 4. Arthrosis ofthe intervertebral joint appears both below and above the level of L5-S1 listhesis, but rare in L4-L5 listhesis.5. The L5 root seems to be the one most often affected in lumbar spondylolisthesis on myelogram. 6. The diagnosisof intervertebral disc herniation is less relable in patient with listhesis than in patients without listhesis.

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