Spondylolysis and Spondylolisthesis Overview

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Questions and Answers

What is the most likely symptom associated with spondylolysis and spondylolisthesis?

  • Stiff and antalgic cervical spine
  • Decreased posterior pelvic tilt
  • Pain radiating only to the anterior thigh
  • Increased lumbar lordosis (correct)

Which test can help identify segmental hypermobility or instability in isthmic spondylolisthesis?

  • Positive passive lumbar extension test
  • Segmental Spring Test (shear test) (correct)
  • Femoral and Sciatic nerve tension test
  • Passive hamstring tightness test

What is a common aggravating factor for spondylolysis and spondylolisthesis?

  • Short periods of physical activity
  • Flexion of the lumbar spine
  • Static sitting posture (correct)
  • Referred pain to the upper extremities

Which area is most frequently affected by referred pain in children and adolescents with spondylolysis and spondylolisthesis?

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

What is a characteristic feature of severe cases of spondylolysis and spondylolisthesis in terms of gait?

<p>Antalgic lumbosacral spine with crouching gait (A)</p> Signup and view all the answers

Flashcards

Increased Lumbar Lordosis

Exaggerated inward curve of the lower back. Common in spondylolysis/spondylolisthesis.

Segmental Spring Test

Identifies hypermobility or instability in isthmic spondylolisthesis.

Aggravating factor

Prolonged upright position that leads to pain.

Referred Pain Location

Area most frequently affected by referred pain in young patients.

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Antalgic Gait

A pain-avoiding walk. Shortened stride for people with spondylolysis and spondylolisthesis.

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