1.10 Spondylolysis and Spondylolisthesis Overview

16 Questions

What is the main cause of spondylolysis?

Repetitive mechanical stress and fatigue

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

Lower lumbar (L4-L5, L5-S1)

Which structure in the vertebrae is affected by spondylolysis?

Pars interarticularis

What is a common symptom associated with bilateral spondylolysis?

Increased stress to neighboring structures

Which age group is spondylolysis common in?

Young adults and adolescents

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

Its impact on intervertebral motion

What is the radiological sign of spondylolisthesis?

Anterior displacement of the superior vertebra

What is often referred to as 'retrolisthesis'?

Posterior displacement of the superior vertebra

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

Spinal stenosis

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

Lumbar spine lateral x-ray

Which type of patients might require surgical management for spondylolisthesis?

Those experiencing progression of severity and neurological deficits for more than 6 months

What is a common conservative medical management approach for spondylolisthesis?

Physiotherapy with a multimodal approach

What is one option for pain management in spondylolisthesis cases?

Epidural steroid injection

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

Greater improvement in pain, function, and disability compared to conservative management

Which factor requires surgical management in spondylolisthesis cases?

Neurological deficits and worsening symptoms for more than 6 months

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