Diagnosing Spondylolisthesis in General Osteopathic Practice

Item

Title
Diagnosing Spondylolisthesis in General Osteopathic Practice
Author(s)
Payne Denise
Abstract
Spondylolisthesis, the anterior or posterior displacement of one vertebra on another, usually effects the lumbar region. Five percent of the population has one of the five classes of spondylolisthesis, which include: dyplastic, isthmic, degenerative, traumatic and pathologic types.This study focuses on the dysplastic, isthmic and degenerative types and compares the clinical presentation with that of an average back pain population within the setting of a general osteopathic practice.Thirty five patients with x-ray confirmed diagnosis of spondylolisthesis were identified from the x-ray archive and matched with their original case history reports. All subjects presented with Meyerding grade I or II. Spondylolisthesis. Twenty eight patients with x-ray confirmed absence of spondylolisthesis were identified in the same way and matched with their case history records. The two sample groups were then compared for differences in presenting features. Analysis of the findings using Chi-square tests revealed only two statistically significant differences in the clinical presentation between the two groups. The age of the patient and the type of occupation were significantly different. Those in the spondylolithesis group were predominantly employed in heavy manual occupations and aged 21-50 and 60+ whilst the control group were employed in predominantly light manual and sedentary occupations and were aged 31-40.The study concluded that there were no clear diagnostic features of spondylolithesis patients as compared to control and that textbook clinical criteria for evaluation were misleading when applied to mild cases of grade I or II
Abstract
Date Accepted
2000
Date Submitted
31.7.2000 00:00:00
Type
undergraduate_project
Language
English
Submitted by:
62
Pub-Identifier
12192
Inst-Identifier
780
Keywords
Spondylolisthesis,Lumbar Spine,Bone Disorders
Recommended
0
Item sets
Thesis

Payne Denise, “Diagnosing Spondylolisthesis in General Osteopathic Practice”, Osteopathic Research Web, accessed April 29, 2024, https://www.osteopathicresearch.com/s/orw/item/2268