Spondylolisthesis degenerative

If we construct this time line, we can see that if we believe spondylolisthesis may progress to spondyloptosis, we can project various and sundry reasons for a painful situation and a situation when pain completely resolves. These pain generators are microfracture, annular stretch, sacral molding, L5 molding, degenerative disc, nerve root entrapment, caudi entrapment. 

Fig. 9 a, b. This illustration reveals a patient with a bent sacrum, degenerative disc, and spondylolisthesis... 

The x-rays show a macrofracture of an elongated pars interarticularis. These films illustrate the many pain generators in spondylolisthesis microfractures causing elongation of the pars, degenerative annular stretch, degenerative disc disease, and the sudden macro fracture of the pars causing the acute syndrome... 

Degenerative spondylolisthesis is the result of degenerative changes in the posterior facet joints and disc that permit forward slippage of the vertebra, commonly of L4 on L5. It is most often seen in persons older than age 50. 

In 2008, successful development of Steeffe plates was reported by CAH108 for treatment of degenerative lumbar spondylolisthesis. The retro and postoperative study was carried out on 67 patients. 

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