Abstract

Background: Many incidental deformities of musculoskeletal system can usually be adequately recognized through abdominopelvic CT scans. However, abnormalities such as spondylolysis and spondylolisthesis are generally missed by radiologist due to lack of sagittal images on a routine abdominal CT.

Objective: To find out the prevalence of unreported cases of spondylolysis and spondylolisthesis in non-traumatic population undergoing abdominopelvic CT scan at a tertiary care hospital.

Study Design: Cross sectional study.

Setting: Department of Radiology, Liaquat National Hospital, Karachi.

Duration: From 13^th August 2017 to 12^th February 2018.

Material and Methods: We conducted a cross sectional study on 196 abdominopelvic CT scans of patients without any history of trauma. Two consultant radiologists commented on absence or presence of spondylolysis and spondylolisthesis. The spondylolisthesis was further graded and spondylolysis was divided as unilateral or bilateral. Under reporting was evaluated by whether one consultant reported lesser cases than the other. Then descriptive statistics were calculated and stratification was performed. Finally, we applied post stratification chi square test. P value of < 0.05 was taken as significant.

Results: Of 196 patients recruited, 103 were males and 93 were females. 51.53 ± 12.14 years were the mean age of our study population. Spondylolysis was identified in 46.4% with 76.6% unilateral cases and 23.4% bilateral cases. 54.6% cases were diagnosed as spondylolisthesis. Grade I, II and V were 18.7% each. Whereas grade III was 22.4% and grade IV was 21.5%. 52.0% cases were underreported as observed in this study.

Conclusion: Under reporting in 52.0% of cases suggest that this may result in delayed treatment of spondylolysis and spondylolisthesis.

Keywords: Under Reporting; Lumbar Spondylolysis; Spondylolisthesis; Abdomino-Pelvic CT; Nontraumatic Patients

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Citation

Citation: Ameet Jesrani., et al. “Frequency of Under-Reporting of Lumbar Spondylolysis and Spondylolisthesis on Abdomino-Pelvic CT in Non-Traumatic Patients at Tertiary Care Hospital". Acta Scientific Medical Sciences 4.10 (2020): 130-135.

Copyright

Copyright: © 2020 Ameet Jesrani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.