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</p> Signup and view all the answers

    Which age group is spondylolysis common in?

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

    What is the radiological sign of spondylolisthesis?

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

    What is often referred to as 'retrolisthesis'?

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

    What is a common conservative medical management approach for spondylolisthesis?

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

    What is one option for pain management in spondylolisthesis cases?

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

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