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Spondylolyse, spondylolistese

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
Spondylolyse er en virvelbuedefekt uten glidning av ryggvirvelen. Spondylolistese er en fremoverglidning av en virvelcorpus
Forekomst:
Spondylolyse er vanlig, mens høygradig spondylolistese er sjelden
Symptomer:
Tretthets- og stivhetsfølelse i lumbalkolumna omkring vekstspurten. Kronisk ryggsmerte hos voksne. Forverres ved hyperekstensjon
Funn: 
Ved klinisk undersøkelse ev. palpasjonsømhet lumbalt. Smerteprovokasjon ved hyperekstensjon i ryggen
Diagnostikk:
Vanlig røntgen, MR eller CT er aktuelle undersøkelser
Behandling: 
Er i akutt fase avlastning, trening, ev. korsett, ev. kirurgi
  • Nasjonal behandlingstjeneste for kirurgisk behandling ved ikke maligne rygglidelser hos barn, Oslo universitetssykehus HF - nettside 
  • Nasjonal kompetansetjeneste for kirurgisk behandling av rygg- og nakkesykdommer - nettside 
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  15. Garet M, Reiman MP, Mathers J, Sylvain J. Nonoperative treatment in lumbar spondylolysis and spondylolisthesis: a systematic review. Sports Health 2013; 5:225. PubMed  
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  17. Goto T, Sakai T, Sugiura K, et al. Dash-associated spondylolysis hypothesis. Spine Surg Relat Res. 2019; 3(2): 146–150. www.ncbi.nlm.nih.gov  
  18. Longo UG, Loppini M, Romeo G, et al. Evidence-based surgical management of spondylolisthesis: reduction or arthrodesis in situ. J Bone Joint Surg Am. 2014 Jan 1. 96(1):53-8.
  19. Weinstein JN, Lurie JD, Tosteson TD et al. Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. N Engl J Med 2007; 356: 2257-70. New England Journal of Medicine  
  20. Austevoll IM, Hermansen E, Fagerland MW, et al. Decompression with or without Fusion in Degenerative Lumbar Spondylolisthesis. N Engl J Med 2021; 385: 526-38. doi:10.1056/NEJMoa2100990 DOI  
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  • Terje Johannessen, professor i allmennmedisin, Trondheim

Tidligere fagmedarbeidere

  • Flemming Skovby, overlæge, professor, dr.med., Rigshospitalet (Lægehåndbogen)
  • Terje M. Halvorsen, spesialist i fysikalsk medisin og rehabilitering, Norsk Idrettsmedisinsk Institutt, Oslo