1.10 Spondylolysis and Spondylolisthesis Overview
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Questions and Answers

What is the main cause of spondylolysis?

  • Genetic mutation
  • Poor posture
  • Sudden trauma
  • Repetitive mechanical stress and fatigue (correct)

In which region of the spine are spondylolysis and spondylolisthesis most commonly observed?

  • Upper lumbar (L1-L2, L2-L3)
  • Lower lumbar (L4-L5, L5-S1) (correct)
  • Thoracic
  • Cervical

Which structure in the vertebrae is affected by spondylolysis?

  • Vertebral foramen
  • Spinous process
  • Pars interarticularis (correct)
  • Transverse process

What is a common symptom associated with bilateral spondylolysis?

<p>Increased stress to neighboring structures (D)</p> Signup and view all the answers

Which age group is spondylolysis common in?

<p>Young adults and adolescents (A)</p> Signup and view all the answers

According to literature, what aspect of spondylolysis might contribute to pain in affected individuals?

<p>Its impact on intervertebral motion (A)</p> Signup and view all the answers

What is the radiological sign of spondylolisthesis?

<p>Anterior displacement of the superior vertebra (D)</p> Signup and view all the answers

What is often referred to as 'retrolisthesis'?

<p>Posterior displacement of the superior vertebra (D)</p> Signup and view all the answers

What is considered a potential factor in spondylolisthesis that causes narrowing of the spinal canal?

<p>Spinal stenosis (A)</p> Signup and view all the answers

What is the standard method used to measure the percentage of anterior translation in spondylolisthesis?

<p>Lumbar spine lateral x-ray (C)</p> Signup and view all the answers

Which type of patients might require surgical management for spondylolisthesis?

<p>Those experiencing progression of severity and neurological deficits for more than 6 months (B)</p> Signup and view all the answers

What is a common conservative medical management approach for spondylolisthesis?

<p>Physiotherapy with a multimodal approach (D)</p> Signup and view all the answers

What is one option for pain management in spondylolisthesis cases?

<p>Epidural steroid injection (D)</p> Signup and view all the answers

What did sport trials involving patients with symptomatic degenerative spondylolisthesis demonstrate after a 4-year follow-up?

<p>Greater improvement in pain, function, and disability compared to conservative management (D)</p> Signup and view all the answers

Which factor requires surgical management in spondylolisthesis cases?

<p>Neurological deficits and worsening symptoms for more than 6 months (A)</p> Signup and view all the answers

Which imaging technique is commonly used to measure spinal vertebral displacement in spondylolisthesis?

<p>Lumbar spine lateral x-ray (B)</p> Signup and view all the answers

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