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The Natural History of Degenerative Spondylolisthesis of
the Cervical Spine With 2-to 7-Year Follow-up
Moon Soo Park, MD, PhD,* Seong-Hwan Moon, MD,† Hwan-Mo Lee, MD,†
Seok Woo Kim, MD,* Tae-Hwan Kim, MD,* Bo-Kyung Suh, MD,*and K.
Daniel Riew, MD§
Department of Orthopaedic Surgery, Hallym University Sacred Heart
Hospital, Medical College of Hallym University, 896, Pyeongchon-dong,
Dongan-gu, Anyang-si, Gyeonggi-do, 431-070, Republic of Korea
†Department of Orthopaedic Surgery, Yonsei University College of Medicine,
250 Seongsan-ro, Seodaemun-gu, Seoul 102-752 , Republic of Korea
Copyright © 2012 Lippincott Williams & Wilkins. Unauthorized commercial reproduction of this slide is prohibited
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Cervical degenerative spondylolisthesis is common in patients older than
50, who sometimes require surgical treatment due to clinical symptoms.
There is no report regarding its natural history.
We report a retrospective case series of 27 patients with cervical
degenerative spondylolisthesis assessed by neutral and dynamic lateral
radiographs of the cervical spine with a mean follow up period of 39.0
months (range, 24-92).
None of the anterolistheses or retrolistheses had progressed by the final
visit.
Copyright © 2012 Lippincott Williams & Wilkins. Unauthorized commercial reproduction of this slide is prohibited
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In conclusion, our results suggest that cervical degenerative
anterolisthesis and retrolisthesis appear to be stable over 2 to nearly 8
years.
While those with retrolisthesis appear to have a higher propensity to
increase their subluxation, none dislocated or suffered neurologic
damage.
In the absence of neurologic symptoms, we recommend observation of
patients with degenerative spondylolistheses of the cervical spine
Copyright © 2012 Lippincott Williams & Wilkins. Unauthorized commercial reproduction of this slide is prohibited
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