Zusammenfassung
Spondylolyse oder Spondylolisthese sind häufig gestellte Diagnosen, die sowohl Patienten
mit Kreuzschmerzen als auch asymptomatische Probanden betreffen. Derzeit ist nicht
klar, welche Mechanismen bei manchen Personen eine Progredienz mit mehr oder weniger
Problemen verursachen, während andere mit gleichem Ausgangsbefund weitgehend symptomfrei
bleiben. Der vorliegende Literaturreview untersucht und evaluiert die Effektivität
konservativer Maßnahmen bei Spondylolyse und Spondylolisthese.
Abstract
Spondylolysis or Spondylolisthesis are common diagnoses which affect patients with
back pain as well as asymptomatic subjects. At present it is not clear which mechanisms
cause more or less progressive problems in some patients while others with the same
clinical findings show almost no symptoms. This literature review investigates and
evaluates the effectiveness of conservative interventions in spondylolysis and spondylolisthesis.
Schlüsselwörter
Spondylolyse - Spondylolisthese - konservative Behandlung - Übungen
Key words
spondylolysis - spondylolisthesis - conservative treatment - exercises
Literatur
- 1
Bell D F, Ehrlich M G, Zaleske D J.
Brace treatment for symptomatic spondylolisthesis.
Clin Orthop Relat Res.
1988;
236
192-198
- 2
Beutler WS, Fredrickson BE, Murtland A. et al .
The natural history of spondylolysis and spondylolisthesis in 45-year follow-up evaluation.
Spine.
2003;
28
1027-1035, discussion 1035
- 3
Blanda J, Bethem D, Moats W. et al .
Defects of pars interarticularis in athletes: a protocol for nonoperative treatment.
J Spinal Disord.
1993;
6
406-411
- 4
Engelhardt M, Reuter I, Freiwald J. et al .
Spondylolysis and spondylolisthesis and sports.
Orthopäde.
1997;
26
755-759
- 5
Fairbank J, Frost H, Wilson-MacDonald J. et al .
Randomised controlled trial to compare surgical stabilisation of the lumbar spine
with an intensive rehabilitation programme for patients with chronic low back pain:
the MRC spine stabilisation trial.
BMJ.
2005;
330
1233
- 6
Frederickson B E, Baker D, McHolick W J. et al .
The natural history of spondylolysis and spondylolisthesis.
J Bone Joint Surg Am.
1984;
66
699-707
- 7
Fujii K, Katoh S, Sairyo K. et al .
Union of defects in the pars interarticularis of the lumbar spine in children and
adolescents. The radiological outcome after conservative treatment.
J Bone Joint Surg Br.
2004;
86
225-231
- 8
Gramse R R, Sinaki M, Ilstrup D M.
Lumbar spondylolisthesis: a rational approach to conservative treatment.
Mayo Clin Proc.
1980;
55
681-686
- 9
Grimmer K.
Evidence Based Physiotherapy Workbook. Centre of Allied Health and Research. Adelaide:
University of South Australia, 2001.
- 10
Hammerberg K W.
New concepts on the pathogenesis and classification of spondylolisthesis.
Spine.
2005;
30
S4-S11
- 11
Handa N, Yamamoto H, Tani T. et al .
The effect of trunk muscle exercises in patients over 40 years of age with chronic
low back pain.
J Orthop Sci.
2000;
5
210-216
- 12
Harris I E, Weinstein S L.
Long-term follow-up of patients with grade-III and IV spondylolisthesis. Treatment
with and without posterior fusion.
J Bone Joint Surg Am.
1987;
69
960-969
- 13
Iwamoto J, Takeda T, Wakano K.
Returning athletes with severe low back pain and spondylolysis to original sporting
activities with conservative treatment.
Scand J Med Sci Sports.
2004;
14
346-351
- 14
Lonstein J E.
Spondylolisthesis in children. Cause, natural history, and management.
Spine.
1999;
24
2640-2648
- 15
Matsunaga S, Ijiri K, Hayashi K.
Nonsurgically managed patients with degenerative spondylolisthesis: a 10- to 18-year
follow-up study.
J Neurosurg.
2000;
93
194-198
- 16
McNeely M L, Torrance G, Magee D J.
A systematic review of physiotherapy for spondylolysis and spondylolisthesis.
Man Ther.
2003;
8
80-91
- 17
Meyerding H.
Spondylolisthesis.
Surg Gynecol Obstetr.
1932;
54
371
- 18
Mierau D, Cassidy J D, McGregor M. et al .
A comparison of the effectiveness of spinal manipulative therapy for low back pain
patients with and without spondylolisthesis.
J Manipulative Physiol Ther.
1987;
10
49-55
- 19
Möller H, Hedlund R.
Surgery versus conservative management in adult isthmic spondylolisthesis - a prospective
randomized study. Part 1.
Spine.
2000;
25
1711-1715
- 20
O’Sullivan P B, Phyty G D, Twomey L T. et al .
Evaluation of specific stabilizing exercise in the treatment of chronic low back pain
with radiologic diagnosis of spondylolysis or spondylolisthesis.
Spine.
1997;
22
2959-2267
- 21
Panjabi M M.
The stabilizing system of the spine. Part I: Function, dysfunction, adaptation, and
enhancement.
J Spinal Disord.
1992;
5
383-389; discussion: 397
- 22
Panjabi M M.
The stabilizing system of the spine. Part II: Neutral zone and instability hypothesis.
J Spinal Disord.
1992;
5
390-396; discussion: 397
- 23
Panjabi M M.
Clinical spinal instability and low back pain.
J Electromyogr Kinesiol.
2003;
13
371-379
- 24
Simotas A C.
Nonoperative treatment for lumbar spinal stenosis.
Clin Orthop Relat Res.
2001;
384
153-161
- 25
Sinaki M, Lutness M P, Ilstrup D M. et al .
Lumbar spondylolisthesis: retrospective comparison and three-year follow-up of two
conservative treatment programs.
Archives of Physical Medicine & Rehabilitation.
1989;
70
594-598
- 26
Spratt K F, Weinstein J N, Lehmann T R. et al .
Efficacy of flexion and extension treatments incorporating braces for low- back pain
patients with retrodisplacement, spondylolisthesis, or normal sagittal translation.
Spine.
1993;
18
1839-1849
- 27
Steiner M E, Micheli L J.
Treatment of symptomatic spondylolysis and spondylolisthesis with the modified Boston
brace.
Spine.
1985;
10
937-943
- 28
Tokuhashi Y, Matsuzaki H, Sano S.
Evaluation of clinical lumbar instability using the treadmill.
Spine.
1993;
18
2321-2324
- 29
Vibert B T, Sliva C D, Herkowitz H N.
Treatment of Instability and Spondylolisthesis: Surgical versus Nonsurgical Treatment.
Clin Orthop Relat Res.
2006;
443
222-227
- 30
Wiltse L L, Newman P H, Macnab I.
Classification of spondylolisis and spondylolisthesis.
Clin Orthop Relat Res.
1976;
117
23-29
- 31 www.altavista.com
- 32 www.bmjjournals.com
- 33 www.chirogeek.com
- 34 www.ejbjs.com
- 35 www.google.at
- 36 www.thieme.connect.de
1 Die Literaturarbeit entstand im Rahmen der ÖVMPT-OMT-Ausbildung 2004/2006 in Linz.
Irmgard Chorherr, PT
Lerchenfelder Str. 78 - 80 / 30
1080 Wien
Österreich
Email: irmgard.chorherr@chello.at
