Spondylolisthesis Types Quiz

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Which type of spondylolisthesis is more likely to present with neurologic compromise?

Dysplastic spondylolisthesis

What symptoms may be present in patients with severe traumatic spondylolisthesis?

Bowel and bladder dysfunction

What physical finding is observed in patients with slips equal to or greater than grade 2?

Palpable step-off

What treatment approach is recommended for most patients with low-grade spondylolisthesis?

Physical therapy

When should surgical intervention be considered for spondylolisthesis?

When the slip is severe enough to cause cauda equina compression

Which type of spondylolisthesis is almost always associated with the need for surgical stabilization?

Traumatic spondylolisthesis

What is the most common cause of low back pain?

Mechanical low back pain

Which of the following is a common cause of Cauda Equina syndrome?

Disc herniation

What are the typical symptoms of Cauda Equina syndrome?

Severe back pain and bilateral leg pain

Which type of spinal stenosis involves narrowing between the facet of superior articulating process (SAP) and posterior vertebral margin?

Lateral recess stenosis

What are the common symptoms associated with spinal stenosis?

Persistent pain in the buttocks and limping

Which of the following is NOT a treatment option for spinal stenosis?

Neutral-zone exercises

What is the neutral zone in the context of spinal stenosis?

The area of joint motion that is completely unconstrained and set by muscle tone

Which age group is most commonly affected by spinal stenosis?

Older adults (>50 years old)

Which of the following is a key clinical clue for the diagnosis of a compression fracture?

History of trauma

What is a common symptom of herniated nucleus pulposus?

Leg pain greater than back pain

What is a characteristic of lumbar strain/sprain?

Diffuse back pain with or without buttock pain

What is a key clinical clue for the diagnosis of spinal stenosis?

Leg pain greater than back pain

What is a characteristic of spondylolisthesis?

Leg pain greater than back pain

What is a characteristic of spondylolysis?

Can cause back pain in adolescents

What is a characteristic of spondylosis (degenerative disk or facet joint arthropathy)?

Similar to lumbar strain; disk pain often worsens with flexion activity or sitting

What is a key clinical clue for the diagnosis of systemic connective tissue disease?

Multiple joint arthralgias

What is a characteristic of inflammatory spondyloarthropathy?

Intermittent pain at night

Which subsystem is responsible for spinal stability in terms of the mechanoreceptors, spinal cord, afferent and efferent systems, and brain?

Control subsystem

What is the term used to describe excessive range of motion (ROM) as a result of injury to the inert structures of the spine?

Neutral Zone Instability

Which type of spondylolisthesis is characterized by the presence of dysplastic sacral or lower lumbar facet joints?

Congenital spondylolisthesis

What is the term used to describe the forward slippage of one vertebral body over the one inferior to it as a result of a defect in the pars interarticularis?

Spondylolisthesis

Which type of spondylolisthesis is caused by facet degeneration accompanied by disc degeneration, most commonly at L4-L5, and is commonly seen in older people?

Degenerative spondylolisthesis

Which type of spondylolisthesis is caused by the development of a stress fracture of the pars interarticularis and is commonly seen in young athletic individuals who engage in activities requiring lumbar hyperextension?

Isthmic spondylolisthesis

What is the term used to describe the defect in the pars interarticularis that may or may not be accompanied by forward translation (slippage) of one vertebra relative to another?

Spondylolysis

Which of the following is NOT one of the subsystems of spinal stability?

End Zone subsystem

What is the main cause of isthmic spondylolisthesis?

Development of a stress fracture

Which grade of spondylolisthesis represents a slippage of 76-100%?

Grade 4

What is the most common location for spondylolysis to occur?

L5

What is the main symptom of degenerative spondylolisthesis?

Pain in the low back and posterior thighs

What is the function of the neutral zone in spinal stability?

To determine the stability of the spine

Which of the following is NOT a possible cause of spondylolisthesis?

Facet degeneration

Which bones form each innominate bone of the pelvis?

Ilium, ischium, and pubis

Where do the innominate bones articulate with each other?

At the pubic symphysis

Which bone forms the concave bony partner of the hip joint?

Acetabulum

What is the purpose of the acetabular labrum?

To deepen the acetabulum

Which ligament is considered the strongest of the hip ligaments?

Iliofemoral ligament

What type of joint is the hip joint?

Ball and socket joint

What is the loose-packed position of the hip joint?

30 degrees flexion, 30 degrees abduction, & slight external rotation

What is the closed-packed position of the hip joint?

Extension with slight adduction and internal rotation

What is the purpose of the femoral neck?

To transmit ground reaction forces

Which ligaments reinforce the hip joint capsule?

Iliofemoral, pubofemoral, and ischiofemoral

Which of the following factors enhances stability in the hip joint?

Atmospheric pressure

What is a common mechanism for hip flexor and adductor strains?

Slipping of the foot during cutting

Which of the following is a common site for avulsion fractures in the hip joint?

ASIS

What is the main symptom of Legg-Calve-Perthes Disease?

Pain in the hip or groin

What is a common complication following hip dislocations, fractures, and chronic synovitis?

Avascular necrosis of the femoral head

What is the term used to describe the inflammatory process at the hip characterized by chronic irritation and excess secretion of synovial fluid within the capsule?

Chronic synovitis

What is a characteristic of a hip pointer?

Pain, swelling, and ecchymosis

What is the term used to describe avascular necrosis of the proximal femoral epiphysis in children?

Legg-Calve-Perthes Disease

What is a characteristic of avulsion fractures in the hip joint?

Common sites include ASIS, AIIS, lesser trochanter, and ischial tuberosity

What is a common symptom of chronic synovitis in the hip joint?

Pain and decrease in ROM

Which of the following factors can compromise stability in the hip joint?

All of the above

Which of the following injuries is characterized by avascular necrosis of the proximal femoral epiphysis?

Legg-Calve-Perthes disease

Which of the following injuries commonly occurs as a result of a violent contraction or tractioning of the attaching muscle?

Avulsion fracture

Which of the following injuries is characterized by an inflammatory process at the hip, resulting in chronic irritation and excess secretion of synovial fluid within the capsule?

Chronic synovitis

Which of the following injuries commonly results from overstretching or a rapid, forceful contraction of the muscle?

Hip joint strain

Which of the following injuries is characterized by a contusion to the iliac crest?

Hip pointer

Which of the following injuries is a common complication following hip dislocations, fractures, and chronic synovitis?

Avascular necrosis of the femoral head

Which of the following injuries is characterized by pain in the hip or groin that radiates to the knee, limping, decreased ROM, and hip flexor tightness?

Legg-Calve-Perthes disease

Which of the following factors enhances stability in the hip joint?

All of the above

Which of the following injuries is characterized by excessive forcible exertion of the extremity that stretches or tears the surrounding ligaments?

Hip joint sprain

Which bones form the innominate bone of the pelvis?

Ilium, ischium, and pubis bones

What is the shape of the femur designed for?

Bearing body weight and transmitting ground reaction forces

Where is the acetabulum located in the pelvis?

Lateral aspect

Which ligament is considered the strongest of the hip ligaments?

Iliofemoral ligament

What is the joint type of the hip joint?

Ball and socket joint

What are the three ligaments that reinforce the hip joint capsule?

Iliofemoral, pubofemoral, and ischiofemoral ligaments

What are the angular characteristics of the femoral neck that can affect joint stability?

Angle of inclination and angle of declination

What is the closed-packed position of the hip joint?

Extension with slight adduction and internal rotation

What is a common symptom of chronic synovitis in the hip joint?

Excess secretion of synovial fluid within the capsule

What is the term used to describe the forward slippage of one vertebral body over the one inferior to it as a result of a defect in the pars interarticularis?

Spondylolisthesis

Which bones form each innominate bone of the pelvis?

Ilium, ischium, and pubis

Where do the right and left innominate bones articulate with each other?

At the pubic symphysis

What is the shape of the femur designed for?

Bearing body weight and transmitting ground reaction forces

Where is the acetabulum located in the pelvis?

Lateral aspect

What is the purpose of the acetabular labrum?

To deepen the acetabulum

Which ligament is considered the strongest of the hip ligaments?

Iliofemoral ligament

What type of joint is the hip joint?

Ball and socket joint

What are the three degrees of freedom of the hip joint?

Flexion, abduction, and rotation

What is the loose-packed position of the hip joint?

30 degrees flexion, 30 degrees abduction, and slight external rotation

What is the closed-packed position of the hip joint?

Extension with slight adduction and internal rotation

Identifying Different Types of Spondylolisthesis: Test Your Knowledge!

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