What is the sexual predilection of lumbar spondylolysis and spondylolisthesis?

Updated: Jul 08, 2020
  • Author: Beth B Froese, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Beutler et al noted a 2:1 male-to-female ratio of occurrence in asymptomatic patients with spondylolysis. [6]

  • Females with isthmic spondylolytic lesions appear to be more prone to progressive displacement and may need surgical intervention more often than males.

  • Congenital spondylolisthesis (dysplastic type) occurs with a 2:1 female-to-male ratio with symptoms beginning around the adolescent growth spurt. These comprise about 14-21% of all cases of spondylolisthesis.

  • Degenerative spondylolisthesis occurs more commonly in females with a 5:1 female-to-male ratio. The incidence increases after age 40 years.


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