Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 18604
  Title Spondylolisthesis and associated clinical features: a retrospective study from a chiropractic student outpatient clinic
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Journal Chiropr J Aust. 2005 Sep;35(3):112-116
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Peer Review Yes
Publication Type Article
Abstract/Notes Objective: To report on the relationship between an isthmic spondylolisthesis and a number of radiographic and clinical findings of patients who attended the Macquarie University student outpatient clinics at Eastwood, Epping and Summer Hill.

Design and Outcome Variables: Retrospective study based on radiological and clinical analysis of cases with isthmic spondylolisthesis. A total of 1,978 radiographic reports were reviewed from 3 student outpatient clinics, and only those with an isthmic spondylolisthesis were selected for further analysis. Corresponding patient files were examined, and information sought included sex, age, reported visceral conditions, transitional vertebrae and spina bifida occulta.

Results: Of the 1,978 radiographic reports, 109 contained an isthmic spondylolisthesis. Of the 109 reports, there was a gender ratio of 2.2 males to every female; 34 had spina bifida occulta; and 10 had a transitional segment. Ninety-four (94) corresponding patient records were found, and 67.02% of patients presented with a history of low back pain.

Conclusion: Prevalence of spondylolisthesis, gender relationship, lifetime prevalence of low back pain, and prevalence of spina bifida occulta are all consistent with current literature. Of note is that 79.37% of patients who have experienced low back pain and have an isthmic spondylolisthesis indicated on a pain diagram that they felt their low back pain in the low lumbar spine, sacroiliac joints and buttocks area, and that pain referral into one or both legs is not a common finding.

This abstract is reproduced with the permission of the publisher; full text (print only) by subscription.
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