Estratto
La spondilolisi è un difetto uni o bilaterale dell’istmo, o pars interarticularis, della vertebra. L’istmo rappresenta il punto di giunzione tra il peduncolo, le faccette articolari e la lamina. I capi ossei affrontati a livello della spondilolisi sono collegati tra loro da un tessuto che è una combinazione di materiale fibroso, cartilagineo ed osseo, che può evolvere in pseudoartrosi. Alcune volte si ha la guarigione del difetto istmico con formazione di callo osseo riparatore. L’incidenza della spondilolisi lombare, nella popolazione generale, è stimata intorno al 6%, ma raggiunge il 63% tra coloro che praticano particolari attività sportive. La spondilolisi, rara prima dei cinque anni, è molto più frequente dopo i dieci anni di età; l’incidenza aumenta negli anni fino ad arrestarsi in età adulta.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Capitolo 2
Albanese M, Pizzutillo PD (1982) Family study of spondylolysis and spondylolisthesis. J Pediatr Orthop 2:496–499
Amato M, Totty WG, Gilula LA (1984) Spondylolysis of the lumbar spine: Demonstration of defects and laminal fragmentation. Radiology 153:627–629
Araki T, Harata S, Nakano K, Satoh T (1992) Reactive sclerosis of the pedicle associated with controlateral spondylolysis. Spine 17:1424–1426
Elliott S, Hutson MA, Wastie ML (1988) Bone scintigraphy in the assessment of spondylolysis in patients attending a sports injury clinic. Clin Radiol 39:269–272
Grogan JP, Hemminghytt S, Williams AL et al (1982) Spondylolysis studied with computed tomography. Radiology 145:763–742
Jinkins JR, Matthes JC, Sener RN et al (1992) Spondylolysis, spondylolisthesis, and associated nerve root entrapment in the lumbosacral spine: MR evaluation. AJR Am J Roentgenol 159:799–803
Langston JW, Gavant ML (1985) “Incomplete ring” sign: a simple method for CT detection of spondylolysis. J Comput Assist Tomogr 9:728–729
Major NM, Helms CA, Richardson WJ (1999) MR imaging of fibrocartilaginous masses arising on the margins of spondylolysis defects. AJR Am J Roentgenol 173:673–676
Maldague BE, Malghem JJ (1976) Unilateral arch hypertrophy with spinous process tilt: a sign of arch deficiency. Radiology 121:567–574
Meyerding HW (1941) Low backache and sciatic pain associated with spondylolisthesis and protruded intervertebral disk. J Bone Joint Surg 23:461–466
Modic MT, Steinberg PM, Ross JS et al (1988) Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology 166:193–199
Raby N, Mathews S (1993) Symptomatic spondylolysis: correlation of CT and SPECT with clinical outcome. Clin Radiol 48:97–99
Rossi F (1988) Spondylolysis, Spondylolisthesis and sports. J Sports Med Phys Fitness 18:317–340
Rothman SLG, Glenn WV (1984) CT multiplanar reconstruction in 253 cases of lumbar spondylolysis. AJNR Am J Neuroradiol 5:81–90
Saifuddin A, Burnett SJD (1997) The value of lumbar spine MRI in the assessment of the pars interarticularis. Clin Radiol 52:666–671
Saifuddin A, White J, Tucker S, Taylor BA (1998) Orientation of lumbar pars defects: implications for radiographic detection and surgical management. Journal of Bone and Joint Surgery (British) 80:208–211
Saraste H (1987) Long-term clinical and radiological follow-up of spondylolysis and spondylolisthesis. J Pediatr Orthop 7:631–638
Saraste H, Brostrom LA, Aparisi T (1984) Prognostic radiographic aspects of spondylolisthesis. Acta Radiol Diagn (Stockh) 25:427–432
Smith JA, Hu SS (1999) Management of spondylolysis and spondylolisthesis in the pediatric and adolescent population. Orthop Clin North Am 30:487–499
Ulmer JL, Mathews VP, Elster AD et al (1997) MR imaging of lumbar spondylolysis: the importance of ancillary observations. AJR Am J Roentgenol 169:233–239
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer-Verlag Italia
About this chapter
Cite this chapter
Leone, A., Cirillo, M., Costantini, A.M. (2008). Spondilolisi Lombare. In: Imaging del rachide. Springer, Milano. https://doi.org/10.1007/978-88-470-0836-6_2
Download citation
DOI: https://doi.org/10.1007/978-88-470-0836-6_2
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0835-9
Online ISBN: 978-88-470-0836-6
eBook Packages: MedicineMedicine (R0)