Objectives: To determine the frequency, the clinical and
radiological features of lumbar spondylolisthesis in a rheumatological practice
in Lomé. Patientsandmethods: This was a cross-sectional
study conducted in the rheumatology department of the Sylvanus Olympio Teaching
Hospital in Lomé between January 1997 and December 2019. Medical records of
patients with symptomatic spondylolisthesis with radiographic confirmation were
reviewed. The Meyerding classification system was used for grading. Results:
Of the 350 patients contacted, 118 consented to participate in the study,
making a response rate of 33.71%. Of the 118, 104 (88.1%) were females. 109
(92.4%) presented with radicular pain and 9 (7.6%) presented low back pain. The
mean age of the patients was 54.24 ± 11.19 years. The average duration of the
pain was 4.56 ± 1.32 years. The spondylolisthesis level most involved was the
L4 - L5 (92/118), followed by L5 - S1
(23/118). 106 (89.8%) patients had anterolisthesis only, seven (5.9%)
combination anterolisthesis and retrolisthesis. The spondylolisthesis was
associated with spondylosis in 110 (93.2%) patients. Spondylosis was found at
level L4 - L5 in 38.98% patients, followed by L5 - S1 (24.58%), L3 - L4
(18.64%). Grade I slip wasfound in 108 (91.53%)
patients and Grade II slips 10 (8.47%). Isthmic lysis was found in 40 (33.9%)
patients and it was located at L4 in 30 (75.0%). Conclusion: Lumbar
spondylolisthesis appears to be expected in
Lomé patients with nonspecific back pain and mainly affects females.
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