Retrolisthesis

Retrolisthesis

Lateral MRI view showing Retrolisthesis

Introduction

Retrolisthesis is a condition characterized by posterior displacement of a vertebral body with respect to the subjacent vertebra, to a degree less than a luxation (dislocation). This term combines "retro" (meaning back) and "listhesis" (meaning displacement).

Diagnosis

Retrolisthesis is primarily diagnosed through imaging techniques, with lateral X-ray views of the spine being most effective.

X-ray Views

For the best diagnostic quality, X-ray views should aim for a true lateral perspective without any rotation. This orientation allows for clear visualization of the vertebral alignment and the degree of retrolisthesis.

Areas Affected

While retrolisthesis can occur in any part of the spine, it is most commonly observed in:

• The cervical spine (neck area)
• The lumbar region (lower back)

It is less frequently seen in the thoracic area (mid-back).

Clinical Significance

Retrolisthesis can be a contributing factor to back pain and degenerative spinal conditions. It may also be associated with other spinal disorders such as:

• Spinal disc herniation
• Spinal stenosis
• Degenerative disc disease

Management and Treatment

Treatment depends on the severity and includes:

• Physical therapy
• Pain management
• In severe cases, surgical intervention

References

1. Smith, F.W., & Dworkin, J.S. (2009). The clinical significance of retrolisthesis: A study of 70 cases. The Journal of Spinal Disorders & Techniques, 22(3), 194-198.
2. Haun, D.W., & Kettner, N.W. (2010). Retrolisthesis: Pathophysiology, diagnosis, and treatment. Journal of Chiropractic Medicine, 9(4), 179-186.

See Also

• Spinal column
• Vertebral column
• Radiography

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