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Natural History of Cervical Degenerative Spondylolisthesis
STUDY DESIGN.Retrospective observational and case-control study. OBJECTIVE.To determine the risk factors for progression of degenerative listhesis by comparing patients with and without progression at greater than 5-year follow-up. SUMMARY OF BACKGROUND DATA.The previous study with 2- to 7-year foll...
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| Published in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2019-01, Vol.44 (1), p.E7-E12 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
| container_volume | 44 |
| creator | Park, Moon Soo Moon, Seong-Hwan Oh, Jae Keun Lee, Ho Won Riew, K Daniel |
| description | STUDY DESIGN.Retrospective observational and case-control study.
OBJECTIVE.To determine the risk factors for progression of degenerative listhesis by comparing patients with and without progression at greater than 5-year follow-up.
SUMMARY OF BACKGROUND DATA.The previous study with 2- to 7-year follow-up showed that degenerative spondylolisthesis of the cervical spine did not progress. Longer-term follow-up may reveal that these patients actually do progress over time.
METHODS.We identified 218 patients with greater than 5-year follow-up without surgery. They were categorized as either having or not having cervical spondylolisthesis. We defined spondylolisthesis as the presence of greater than 2 mm of translation in standing neutral lateral radiographs of the cervical spine at the initial evaluation. The control group at baseline was those without spondylolisthesis. Progression of translation was defined as greater than 2 mm of additional translation on the final standing neutral radiograph.
RESULTS.The mean follow-up duration was 6.4 ± 1.0 years (range5–9.4 yr). Progression of translation was found in 20 patients (9.2%), including 4 patients in the spondylolisthesis group and 16 patients in the control group. Progression of translation was not related to the presence of spondylolisthesis or the severity of translation at the initial evaluation, but was more common in the elderly and in the patients with anterior translation than those with posterior translation at the initial evaluation. In addition, progression of spondylolisthesis was not correlated with any change of symptoms.
CONCLUSION.Progression of cervical spondylolisthesis is not related to the presence of spondylolisthesis at baseline.Level of Evidence4 |
| doi_str_mv | 10.1097/BRS.0000000000002764 |
| format | article |
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OBJECTIVE.To determine the risk factors for progression of degenerative listhesis by comparing patients with and without progression at greater than 5-year follow-up.
SUMMARY OF BACKGROUND DATA.The previous study with 2- to 7-year follow-up showed that degenerative spondylolisthesis of the cervical spine did not progress. Longer-term follow-up may reveal that these patients actually do progress over time.
METHODS.We identified 218 patients with greater than 5-year follow-up without surgery. They were categorized as either having or not having cervical spondylolisthesis. We defined spondylolisthesis as the presence of greater than 2 mm of translation in standing neutral lateral radiographs of the cervical spine at the initial evaluation. The control group at baseline was those without spondylolisthesis. Progression of translation was defined as greater than 2 mm of additional translation on the final standing neutral radiograph.
RESULTS.The mean follow-up duration was 6.4 ± 1.0 years (range5–9.4 yr). Progression of translation was found in 20 patients (9.2%), including 4 patients in the spondylolisthesis group and 16 patients in the control group. Progression of translation was not related to the presence of spondylolisthesis or the severity of translation at the initial evaluation, but was more common in the elderly and in the patients with anterior translation than those with posterior translation at the initial evaluation. In addition, progression of spondylolisthesis was not correlated with any change of symptoms.
CONCLUSION.Progression of cervical spondylolisthesis is not related to the presence of spondylolisthesis at baseline.Level of Evidence4</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0000000000002764</identifier><identifier>PMID: 29952882</identifier><language>eng</language><publisher>United States: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Case-Control Studies ; Cervical Vertebrae - diagnostic imaging ; Cervical Vertebrae - surgery ; Disease Progression ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Spinal Cord Diseases - diagnostic imaging ; Spinal Cord Diseases - surgery ; Spondylolisthesis - diagnostic imaging ; Spondylolisthesis - surgery ; Young Adult</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2019-01, Vol.44 (1), p.E7-E12</ispartof><rights>Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4224-d9d2e7267d201aff503c99b798aa6ba45a4d1d26b6f816bb13153b693768615a3</citedby><cites>FETCH-LOGICAL-c4224-d9d2e7267d201aff503c99b798aa6ba45a4d1d26b6f816bb13153b693768615a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29952882$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Moon Soo</creatorcontrib><creatorcontrib>Moon, Seong-Hwan</creatorcontrib><creatorcontrib>Oh, Jae Keun</creatorcontrib><creatorcontrib>Lee, Ho Won</creatorcontrib><creatorcontrib>Riew, K Daniel</creatorcontrib><title>Natural History of Cervical Degenerative Spondylolisthesis</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>STUDY DESIGN.Retrospective observational and case-control study.
OBJECTIVE.To determine the risk factors for progression of degenerative listhesis by comparing patients with and without progression at greater than 5-year follow-up.
SUMMARY OF BACKGROUND DATA.The previous study with 2- to 7-year follow-up showed that degenerative spondylolisthesis of the cervical spine did not progress. Longer-term follow-up may reveal that these patients actually do progress over time.
METHODS.We identified 218 patients with greater than 5-year follow-up without surgery. They were categorized as either having or not having cervical spondylolisthesis. We defined spondylolisthesis as the presence of greater than 2 mm of translation in standing neutral lateral radiographs of the cervical spine at the initial evaluation. The control group at baseline was those without spondylolisthesis. Progression of translation was defined as greater than 2 mm of additional translation on the final standing neutral radiograph.
RESULTS.The mean follow-up duration was 6.4 ± 1.0 years (range5–9.4 yr). Progression of translation was found in 20 patients (9.2%), including 4 patients in the spondylolisthesis group and 16 patients in the control group. Progression of translation was not related to the presence of spondylolisthesis or the severity of translation at the initial evaluation, but was more common in the elderly and in the patients with anterior translation than those with posterior translation at the initial evaluation. In addition, progression of spondylolisthesis was not correlated with any change of symptoms.
CONCLUSION.Progression of cervical spondylolisthesis is not related to the presence of spondylolisthesis at baseline.Level of Evidence4</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Case-Control Studies</subject><subject>Cervical Vertebrae - diagnostic imaging</subject><subject>Cervical Vertebrae - surgery</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Spinal Cord Diseases - diagnostic imaging</subject><subject>Spinal Cord Diseases - surgery</subject><subject>Spondylolisthesis - diagnostic imaging</subject><subject>Spondylolisthesis - surgery</subject><subject>Young Adult</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LAzEQhoMotlb_gcgevWzN1yYbb1o_KoiC1XPI7s7a1bSpyW5L_72RVhEPzmVgeN534EHomOAhwUqeXT5NhvjXUCn4DuqTjOYpIZnaRX3MBE0pZ6KHDkJ4i5BgRO2jHlUqYjnto_MH03be2GTchNb5deLqZAR-2ZTxdgWvMAdv2mYJyWTh5tXaOhvBKYQmHKK92tgAR9s9QC8318-jcXr_eHs3urhPS04pTytVUZBUyIpiYuo6w6xUqpAqN0YUhmeGV6SiohB1TkRREEYyVgjFpMgFyQwboNNN78K7jw5Cq2dNKMFaMwfXBU2xIBwTiVVE-QYtvQvBQ60XvpkZv9YE6y9rOlrTf63F2Mn2Q1fMoPoJfWuKQL4BVs624MO77Vbg9RSMbaf_d38CXSh3-g</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Park, Moon Soo</creator><creator>Moon, Seong-Hwan</creator><creator>Oh, Jae Keun</creator><creator>Lee, Ho Won</creator><creator>Riew, K Daniel</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20190101</creationdate><title>Natural History of Cervical Degenerative Spondylolisthesis</title><author>Park, Moon Soo ; Moon, Seong-Hwan ; Oh, Jae Keun ; Lee, Ho Won ; Riew, K Daniel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4224-d9d2e7267d201aff503c99b798aa6ba45a4d1d26b6f816bb13153b693768615a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Case-Control Studies</topic><topic>Cervical Vertebrae - diagnostic imaging</topic><topic>Cervical Vertebrae - surgery</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Spinal Cord Diseases - diagnostic imaging</topic><topic>Spinal Cord Diseases - surgery</topic><topic>Spondylolisthesis - diagnostic imaging</topic><topic>Spondylolisthesis - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Moon Soo</creatorcontrib><creatorcontrib>Moon, Seong-Hwan</creatorcontrib><creatorcontrib>Oh, Jae Keun</creatorcontrib><creatorcontrib>Lee, Ho Won</creatorcontrib><creatorcontrib>Riew, K Daniel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Moon Soo</au><au>Moon, Seong-Hwan</au><au>Oh, Jae Keun</au><au>Lee, Ho Won</au><au>Riew, K Daniel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Natural History of Cervical Degenerative Spondylolisthesis</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>44</volume><issue>1</issue><spage>E7</spage><epage>E12</epage><pages>E7-E12</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Undefined-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><abstract>STUDY DESIGN.Retrospective observational and case-control study.
OBJECTIVE.To determine the risk factors for progression of degenerative listhesis by comparing patients with and without progression at greater than 5-year follow-up.
SUMMARY OF BACKGROUND DATA.The previous study with 2- to 7-year follow-up showed that degenerative spondylolisthesis of the cervical spine did not progress. Longer-term follow-up may reveal that these patients actually do progress over time.
METHODS.We identified 218 patients with greater than 5-year follow-up without surgery. They were categorized as either having or not having cervical spondylolisthesis. We defined spondylolisthesis as the presence of greater than 2 mm of translation in standing neutral lateral radiographs of the cervical spine at the initial evaluation. The control group at baseline was those without spondylolisthesis. Progression of translation was defined as greater than 2 mm of additional translation on the final standing neutral radiograph.
RESULTS.The mean follow-up duration was 6.4 ± 1.0 years (range5–9.4 yr). Progression of translation was found in 20 patients (9.2%), including 4 patients in the spondylolisthesis group and 16 patients in the control group. Progression of translation was not related to the presence of spondylolisthesis or the severity of translation at the initial evaluation, but was more common in the elderly and in the patients with anterior translation than those with posterior translation at the initial evaluation. In addition, progression of spondylolisthesis was not correlated with any change of symptoms.
CONCLUSION.Progression of cervical spondylolisthesis is not related to the presence of spondylolisthesis at baseline.Level of Evidence4</abstract><cop>United States</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>29952882</pmid><doi>10.1097/BRS.0000000000002764</doi></addata></record> |
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| ispartof | Spine (Philadelphia, Pa. 1976), 2019-01, Vol.44 (1), p.E7-E12 |
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| source | LWW_医学期刊 |
| subjects | Adult Aged Aged, 80 and over Case-Control Studies Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - surgery Disease Progression Female Follow-Up Studies Humans Male Middle Aged Retrospective Studies Spinal Cord Diseases - diagnostic imaging Spinal Cord Diseases - surgery Spondylolisthesis - diagnostic imaging Spondylolisthesis - surgery Young Adult |
| title | Natural History of Cervical Degenerative Spondylolisthesis |
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