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Spine
intermediate
X-Type

Isthmic Spondylolisthesis

Spondylolisthesis

A 16-year-old male gymnast presents with 6 months of low back pain that worsens with extension and hyperextension activities. Physical examination reveals hyperlordotic posture, hamstring tightness, and tenderness at L5. Oblique radiographs show a collar on the "Scotty dog" appearance at L5. Regarding isthmic spondylolisthesis:

Mark each as TRUE or FALSE

A

Isthmic spondylolisthesis is caused by a defect or fracture in the pars interarticularis (spondyloly...

B

The Wiltse classification divides isthmic spondylolisthesis into Type IIA (stress fracture of pars),...

C

Isthmic spondylolisthesis is most common in the elderly population; it occurs equally at all lumbar ...

D

Risk factors include repetitive hyperextension activities (gymnastics, diving, football linemen, cri...

E

Clinical features include low back pain worse with extension, hamstring tightness (due to nerve root...

Answer the questions to see explanations

Click T (True) or F (False) for each option