Spondylolisthesis

Publication Title: 
Journal of Bodywork and Movement Therapies

OBJECTIVE: This study seeks to find out the impact of massage techniques, including myofascial and muscle energy techniques, on the symptoms of pain, muscular hypertonicity, and structural misalignment associated with isthmic lumbar spondylolisthesis. METHODS: A 30-year-old female was diagnosed with spondylolisthesis at age 12, has chronic mild to moderate back pain during prolonged walking/standing, hyperlordosis and anterior rotation of the pelvis.

Author(s): 
Halpin, Shannon
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Two cases of cervical spondylolisthesis are reported, and the relevant English language literature is reviewed. Analysis of data derived from all of the cases reported revealed no statistically significant etiological or prognostic factors. The roentgenological evaluation, including associated anomalous findings, is presented. Etiological and clinical aspects of cervical spondylolisthesis are discussed. It is concluded that cervical spondylolysis is a relatively rare congenital defect. The role of manipulative therapy in the treatment of associated symptoms is discussed.

Author(s): 
Rowe, L.
Steiman, I.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The source of pain in isthmic spondylolisthesis is uncertain. Some authors believe that spondylolysis and/or spondylolisthesis is not a predisposing factor to low back pain and that the mere presence of isthmic spondylolisthesis may, indeed, not be the cause of low back pain in the patient. This study explores a possible source of biomechanical dysfunction as an origin of pain in isthmic spondylolisthesis.

Author(s): 
Taylor, D. B.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A case of sacroiliac syndrome and lumbar facet capsulitis coexisting with an asymptomatic grade II spondylolisthesis is presented. Spinal manipulative therapy is not contraindicated in the presence of spondylolisthesis if specific to the site of joint hypomobility and if the underlying spondylolisthesis is stable. Manipulation may prove to be diagnostic as well as therapeutic. The need to clinically assess whether the spondylolisthesis is symptomatic is discussed.

Author(s): 
Ventura, J. M.
Justice, B. D.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Case records permeating the chiropractic literature, although claiming success utilizing conservative therapies, often are founded on isolated circumstances rather than scientific data. A detailed examination of such reports reveals a void with respect to definitive and specific approaches for the diagnosis and clinical management of disorders synonymous with chiropractic clinical practice. At best, therefore, such reports are fraught with empiricism, illustrating only the experiences of individual clinicians.

Author(s): 
Crawford, J. P.
Noble, W. J.
Vernon, H.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The incidence of a C7 spondylolisthesis has never been reported, and this paper shows the presence of C7 and L4 degenerative spondylolisthesis in a 66-yr-old female. No report of this combined problem has been reported. The clinical findings of the patient are given as well as treatment protocol.

Author(s): 
Cox, J. M.
Aspegren, D. D.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Five hundred and thirty radiographs were screened for the presence of certain lumbosacral anomalies. The prevalence of spondylolisthesis was found to be 5.1%, lumbarization 6.0%, sacralization 5.5% and low intercrestal line 56.9%. There was no greater prevalence in patients suffering from low back pain when compared against those who did not. There was a propensity for a low intercrestal line among females. Contrary to previous claims that lumbarization is more common in men, we found a moderate predilection for this finding among women.

Author(s): 
Leboeuf, C.
Kimber, D.
White, K.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

There remains a lack of definitive evidence regarding the etiology of pars defects, though evidence is mounting in favor of micro-trauma. Approximation of the articular facets, as occurs in subjects with increased sacral base angles, may result in greater stress to this area, leading to the development of pars defects. Alternatively, pars defects may facilitate approximation of the articular facets, resulting in a higher sacral base angle. The purpose of this study was to determine whether persons with spondylolysis have greater sacral base angles compared to persons without spondylolysis.

Author(s): 
Peterson, C. K.
Haas, M.
Harger, B. L.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVES: To (i) measure lumbar intervertebral motion patterns produced during low force, high frequency posteroanterior (PA) thrusts applied to adjacent thoracolumbar spinal segments; (ii) determine the dependence of PA stiffness and impedance characteristics of the thoracolumbar spine on loading frequency; and (iii) ascertain the feasibility of using PA stiffness or impedance to characterize the in vivo mechanical response of the spine during spinal manipulation. SETTING: Hospital in Gothenburg, Sweden.

Author(s): 
Nathan, M.
Keller, T. S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To document clinical changes after a course of chiropractic care in a geriatric patient with vertigo, tinnitus, and hearing loss. CLINICAL FEATURES: A 75-year-old woman with a longstanding history of vertigo, tinnitus, and hearing loss experienced an intensified progression of these symptoms 5 weeks before seeking chiropractic care. Radiographs revealed a C3 retrolisthesis with moderate degenerative changes C4-C7. Significant decreases in audiologic function were evident, and the RAND 36 Health Survey revealed subjective distress.

Author(s): 
Kessinger, R. C.
Boneva, D. V.

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