The natural history of degenerative spondylolisthesis of the cervical spine with 2-to 7-year follow-up

Moon Soo Park, seonghwan moon, Hwan Mo Lee, Seok Woo Kim, Tae Hwan Kim, Bo Kyung Suh, K. Daniel Riew

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

STUDY DESIGN.: Retrospective study. OBJECTIVE.: To determine whether cervical degenerative spondylolisthesis is unstable and/or progresses. SUMMARY OF BACKGROUND DATA.: Cervical degenerative spondylolisthesis is relatively common in the elderly. However, there are no reports regarding its natural history. METHODS.: We identified 27 patients with cervical degenerative spondylolisthesis (3.9%) from a database of 697 patients, using cervical radiographs. All had neutral and dynamic lateral radiographs at baseline and at a minimum of 24 months later (mean 39 mo, range, 24-92 mo). The mean age of the patients at the initial visit was 59.0 years (range, 50-83 yr). Male to female ratio was 16:11. Radiographical findings and clinical symptoms related to spondylolisthesis were assessed at initial and final follow-up. RESULTS.: Eleven patients had cervical spondylolisthesis at C4-C5, 9 at C3-C4, 6 at C5-C6, and 1 at C2-C3. Initially, 6 had anterolisthesis and 21 had retrolisthesis. At baseline, 3 of 6 patients with anterolisthesis and 7 of 21 patients with retrolisthesis had translation of more than 2 mm on dynamic views. At baseline, 11 had no cervical symptoms, 8 had cervicalgia, 7 had radiculopathy, and 1 had myelopathy. At the final visit, none of the anterolistheses or retrolistheses had progressed. At the final visit, 7 of 10 patients with initial translation of more than 2 mm on dynamic views had no change. Of 17 patients with less than 2 mm of initial dynamic motion, 3 patients progressed to have more than 2 mm of dynamic translation. All 3 of these had retrolisthesis initially. None had clinical worsening of symptoms at the final visit. CONCLUSION.: The natural history of cervical degenerative anterolisthesis and retrolisthesis seems to be stable during 2 years to nearly 8 years. Although those with retrolisthesis seem to have a higher propensity to increase their subluxation, none experienced dislocation or neurological injury.

Original languageEnglish
JournalSpine
Volume38
Issue number4
DOIs
Publication statusPublished - 2013 Feb 15

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Spondylolisthesis
Spine
Natural History
Radiculopathy
Neck Pain
Spinal Cord Diseases
Retrospective Studies
Databases

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Park, Moon Soo ; moon, seonghwan ; Lee, Hwan Mo ; Kim, Seok Woo ; Kim, Tae Hwan ; Suh, Bo Kyung ; Riew, K. Daniel. / The natural history of degenerative spondylolisthesis of the cervical spine with 2-to 7-year follow-up. In: Spine. 2013 ; Vol. 38, No. 4.
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abstract = "STUDY DESIGN.: Retrospective study. OBJECTIVE.: To determine whether cervical degenerative spondylolisthesis is unstable and/or progresses. SUMMARY OF BACKGROUND DATA.: Cervical degenerative spondylolisthesis is relatively common in the elderly. However, there are no reports regarding its natural history. METHODS.: We identified 27 patients with cervical degenerative spondylolisthesis (3.9{\%}) from a database of 697 patients, using cervical radiographs. All had neutral and dynamic lateral radiographs at baseline and at a minimum of 24 months later (mean 39 mo, range, 24-92 mo). The mean age of the patients at the initial visit was 59.0 years (range, 50-83 yr). Male to female ratio was 16:11. Radiographical findings and clinical symptoms related to spondylolisthesis were assessed at initial and final follow-up. RESULTS.: Eleven patients had cervical spondylolisthesis at C4-C5, 9 at C3-C4, 6 at C5-C6, and 1 at C2-C3. Initially, 6 had anterolisthesis and 21 had retrolisthesis. At baseline, 3 of 6 patients with anterolisthesis and 7 of 21 patients with retrolisthesis had translation of more than 2 mm on dynamic views. At baseline, 11 had no cervical symptoms, 8 had cervicalgia, 7 had radiculopathy, and 1 had myelopathy. At the final visit, none of the anterolistheses or retrolistheses had progressed. At the final visit, 7 of 10 patients with initial translation of more than 2 mm on dynamic views had no change. Of 17 patients with less than 2 mm of initial dynamic motion, 3 patients progressed to have more than 2 mm of dynamic translation. All 3 of these had retrolisthesis initially. None had clinical worsening of symptoms at the final visit. CONCLUSION.: The natural history of cervical degenerative anterolisthesis and retrolisthesis seems to be stable during 2 years to nearly 8 years. Although those with retrolisthesis seem to have a higher propensity to increase their subluxation, none experienced dislocation or neurological injury.",
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The natural history of degenerative spondylolisthesis of the cervical spine with 2-to 7-year follow-up. / Park, Moon Soo; moon, seonghwan; Lee, Hwan Mo; Kim, Seok Woo; Kim, Tae Hwan; Suh, Bo Kyung; Riew, K. Daniel.

In: Spine, Vol. 38, No. 4, 15.02.2013.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The natural history of degenerative spondylolisthesis of the cervical spine with 2-to 7-year follow-up

AU - Park, Moon Soo

AU - moon, seonghwan

AU - Lee, Hwan Mo

AU - Kim, Seok Woo

AU - Kim, Tae Hwan

AU - Suh, Bo Kyung

AU - Riew, K. Daniel

PY - 2013/2/15

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N2 - STUDY DESIGN.: Retrospective study. OBJECTIVE.: To determine whether cervical degenerative spondylolisthesis is unstable and/or progresses. SUMMARY OF BACKGROUND DATA.: Cervical degenerative spondylolisthesis is relatively common in the elderly. However, there are no reports regarding its natural history. METHODS.: We identified 27 patients with cervical degenerative spondylolisthesis (3.9%) from a database of 697 patients, using cervical radiographs. All had neutral and dynamic lateral radiographs at baseline and at a minimum of 24 months later (mean 39 mo, range, 24-92 mo). The mean age of the patients at the initial visit was 59.0 years (range, 50-83 yr). Male to female ratio was 16:11. Radiographical findings and clinical symptoms related to spondylolisthesis were assessed at initial and final follow-up. RESULTS.: Eleven patients had cervical spondylolisthesis at C4-C5, 9 at C3-C4, 6 at C5-C6, and 1 at C2-C3. Initially, 6 had anterolisthesis and 21 had retrolisthesis. At baseline, 3 of 6 patients with anterolisthesis and 7 of 21 patients with retrolisthesis had translation of more than 2 mm on dynamic views. At baseline, 11 had no cervical symptoms, 8 had cervicalgia, 7 had radiculopathy, and 1 had myelopathy. At the final visit, none of the anterolistheses or retrolistheses had progressed. At the final visit, 7 of 10 patients with initial translation of more than 2 mm on dynamic views had no change. Of 17 patients with less than 2 mm of initial dynamic motion, 3 patients progressed to have more than 2 mm of dynamic translation. All 3 of these had retrolisthesis initially. None had clinical worsening of symptoms at the final visit. CONCLUSION.: The natural history of cervical degenerative anterolisthesis and retrolisthesis seems to be stable during 2 years to nearly 8 years. Although those with retrolisthesis seem to have a higher propensity to increase their subluxation, none experienced dislocation or neurological injury.

AB - STUDY DESIGN.: Retrospective study. OBJECTIVE.: To determine whether cervical degenerative spondylolisthesis is unstable and/or progresses. SUMMARY OF BACKGROUND DATA.: Cervical degenerative spondylolisthesis is relatively common in the elderly. However, there are no reports regarding its natural history. METHODS.: We identified 27 patients with cervical degenerative spondylolisthesis (3.9%) from a database of 697 patients, using cervical radiographs. All had neutral and dynamic lateral radiographs at baseline and at a minimum of 24 months later (mean 39 mo, range, 24-92 mo). The mean age of the patients at the initial visit was 59.0 years (range, 50-83 yr). Male to female ratio was 16:11. Radiographical findings and clinical symptoms related to spondylolisthesis were assessed at initial and final follow-up. RESULTS.: Eleven patients had cervical spondylolisthesis at C4-C5, 9 at C3-C4, 6 at C5-C6, and 1 at C2-C3. Initially, 6 had anterolisthesis and 21 had retrolisthesis. At baseline, 3 of 6 patients with anterolisthesis and 7 of 21 patients with retrolisthesis had translation of more than 2 mm on dynamic views. At baseline, 11 had no cervical symptoms, 8 had cervicalgia, 7 had radiculopathy, and 1 had myelopathy. At the final visit, none of the anterolistheses or retrolistheses had progressed. At the final visit, 7 of 10 patients with initial translation of more than 2 mm on dynamic views had no change. Of 17 patients with less than 2 mm of initial dynamic motion, 3 patients progressed to have more than 2 mm of dynamic translation. All 3 of these had retrolisthesis initially. None had clinical worsening of symptoms at the final visit. CONCLUSION.: The natural history of cervical degenerative anterolisthesis and retrolisthesis seems to be stable during 2 years to nearly 8 years. Although those with retrolisthesis seem to have a higher propensity to increase their subluxation, none experienced dislocation or neurological injury.

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