fa بررسی شیوع و فاکتورهای زمینه ساز اسپوندیلولیزیس و اسپوندیلولیستزیس: مروری نظام مند بر مطالعات گذشته توانبخشی Rehabilitation مروری Review <p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: 150% direction: rtl unicode-bidi: embed"><b><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">سابقه و هدف</span></b><b><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">:</span></b><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="FA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">بی ثباتی ستون فقرات کمری یکی از علل مهم کمردرد می باشد و به عنوان یکی از زیرگروه های کمردرد غیراختصاصی مطرح می شود. اسپوندیلولیزیس و اسپوندیلولیستزیس به علت بی ثباتی می توانند منجر به کمردرد شوند. هدف از انجام این مطالعه مرور نظام مند مقالات چاپ شده درباره شیوع اسپوندیلولیزیس و اسپوندیلولیستزیس می باشد</span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">.</span><span dir="ltr" style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif"><!--stripped--><!--stripped--></span></p> <p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: 150% direction: rtl unicode-bidi: embed"><b><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">مواد و روشها</span></b><b><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">:</span></b><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="FA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">جستجو در</span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">بانکهای اطلاعاتی </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">PubMed</span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">،</span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">Scopus</span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">، </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">Elsevier</span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">، </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">Ovid</span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">، </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">CINAHL</span><span lang="FA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">، </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">ScienceDirect</span><span style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> <span lang="AR-SA">به زبان انگلیسی با استفاده از کلیدواژه </span></span><span lang="FA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">اسپوندیلولیستزیس، اسپوندیلولیزیس، شیوع، بروز، فاکتور زمینه ساز، اپیدمیولوژی </span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">از سال </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">2000</span><span style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">تا </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">2014 </span><span lang="FA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">انجام گرفت. </span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">به منظور یافتن مطالعات انجام شده در ایران نیز بانکهای اطلاعاتی </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">SID</span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">، </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">Iran medex</span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">، </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">magiran</span><span style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> <span lang="AR-SA">و </span></span><span dir="ltr" lang="EN-CA" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">medlib</span><span lang="EN-CA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="FA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">در سال های اشاره شده</span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">مورد بررسی</span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">قرار</span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">گرفتند</span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">.</span><span lang="AR-SA" style="font-size: 9pt line-height: 150% font-family: '2 Mitra'"><!--stripped--><!--stripped--></span></p> <p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: 150% direction: rtl unicode-bidi: embed"><b><span lang="AR-SA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">یافته­ ها</span></b><b><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">:</span></b><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="FA" style="font-size: 9pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">در کل 26 مقاله که دارای معیارهای ورود به مطالعه بودند، انتخاب شدند. تفاوت های موجود میان مقالات از نظر تعداد، نوع نمونه ها، ناحیه ستون فقرات و شاخصهای مورد بررسی می باشد. 17 مقاله از رادیوگرافی ساده، 7 مقاله از سی تی اسکن و 2 مقاله از</span><span dir="ltr" style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">MRI</span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="FA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">برای ارزیابی شیوع اسپوندیلولیزیس و اسپوندیلولیستزیس استفاده کردند. شیوع این دو اختلال در 4 مطالعه در میان کودکان و در 5 مقاله در میان ورزشکاران بررسی شده است. به جز 3 مطالعه که مربوط به اسپوندیلولیستزیس گردنی می باشند در سایر مطالعات افراد مبتلا به اسپوندیلولیزیس و اسپوندیلولیستزیس کمری مورد بررسی قرار گرفته اند. در مجموع شیوع کلی اسپوندیلولیزیس بین 3% تا 10% و اسپوندیلولیستزیس بین 2% تا 6% می باشد</span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">.</span><span lang="AR-SA" style="font-size: 9pt line-height: 150% font-family: '2 Mitra'"><!--stripped--><!--stripped--></span></p> <p class="MsoNormal" dir="rtl"></p> <p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: 150% direction: rtl unicode-bidi: embed"><b><span lang="FA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">نتیجه</span></b><b><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span></b><b><span lang="FA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">گیری</span></b><b><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">:</span></b><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="FA" style="font-size: 10pt line-height: 150% font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">بررسی مطالعات نشان داد که اسپوندیلولیزیس و اسپوندیلولیستزیس در جوامع مختلف شیوع نسبتا بالایی دارد. این دو اختلال در میان ورزشکاران و افراد با فعالیت فیزیکی زیاد شایع تر است و در کودکان مبتلا به استئوژنز ایمپرفکتا نسبت به کودکان عادی شیوع بالاتری دارد</span><span dir="ltr" style="font-size: 10pt line-height: 150% font-family: 'Times New Roman', serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">. </span><span dir="ltr" style="font-family: 'Times New Roman', serif"><!--stripped--><!--stripped--></span></p> <p align="left" class="MsoNormal" style="text-align: left line-height: 16pt direction: ltr unicode-bidi: embed"><b><span style="font-size: 10pt color: blue">BACKGROUND AND OBJECTIVE:</span></b><span style="font-size: 10pt"> </span><span style="font-size: 10pt">Instability of the lumbar spine is one of the major causes of back pain and is considered as a subtype of non-specific lower back pain. Spondylolysis and spondylolisthesis due to this instability could lead to back pain. This systematic study aimed to review the published articles on the incidence of spondylolysis and spondylolisthesis</span><span style="font-size: 10pt">. <!--stripped--><!--stripped--></span></p> <p class="MsoNormal" style="line-height: 16pt direction: ltr unicode-bidi: embed"><b><span style="font-size: 10pt color: blue">METHODS:</span></b><span style="font-size: 10pt"> </span><span style="font-size: 10pt">In this study, we searched for English articles in databases of PubMed, Scopus, Elsevier, Ovid, CINAHL and ScienceDirect using key words such as spondylolisthesis, spondylolysis, prevalence, incidence, predisposing factors and epidemiology from 2000 to 2014. In addition, we searched in other databases including SID, IranMedex, Magiran and Medlib for the Iranian articles published during this period</span><span style="font-size: 10pt">.</span><span style="font-size: 10pt"> </span><span style="font-size: 10pt"><!--stripped--><!--stripped--></span></p> <p class="MsoNormal" style="line-height: 16pt direction: ltr unicode-bidi: embed"><b><span style="font-size: 10pt color: blue">FINDINGS:</span></b><span style="font-size: 10pt"> </span><span style="font-size: 10pt">In total, 26 articles with dissimilar size and types of samples focusing on different spinal regions and variables were selected for this study. To assess the prevalence of spondylolisthesis and spondylolysis, 17 articles used plain radiography, seven articles used CT-scan and two articles used magnetic resonance imaging (MRI). Moreover, the prevalence of these disorders was investigated among children and athletes in four and five articles, respectively. With the exception of three articles on the incidence of cervical spondylolisthesis, other articles evaluated lumbar spondylolysis and spondylolisthesis. The total prevalence of spondylolysis and spondylolisthesis was estimated between 3-10% and 2-6%, respectively.</span><span style="font-size: 10pt"><!--stripped--><!--stripped--></span></p> <p class="MsoNormal" style="line-height: 16pt direction: ltr unicode-bidi: embed"><b><span style="font-size: 10pt color: blue">CNCLUSION:</span></b><span style="font-size: 10pt"> According to the results of this review, spondylolysis and spondylolisthesis have a high prevalence in different populations. These disorders are more common among athletes and physically active individuals, and the incidence rate is higher among children with osteogenesis imperfecta compared to normal children</span><span style="font-size: 10pt">.<!--stripped--><!--stripped--></span></p> اسپوندیلولیستزیس, اسپوندیلولیزیس, شیوع, فاکتور زمینه ساز, اپیدمیولوژی. Spondylolisthesis, Spondylolysis, Incidence, Predisposing factors, Epidemiology 55 62 http://jbums.org/browse.php?a_code=A-10-1170-1&slc_lang=fa&sid=1 I Shadani آیلین شادانی 100319475328460012918 100319475328460012918 No N Rahmani ناهید رحمانی 100319475328460012919 100319475328460012919 No MA Mohseni bandepei محمد علی محسنی بندپی Mohseni_Bandpei@yahoo.com 100319475328460012920 100319475328460012920 Yes S A Basampour سید علیرضا بصام پور 100319475328460012921 100319475328460012921 No