Lumbar Spine
A 68-year-old woman presents with a 2-year history of bilateral leg pain and neurogenic claudication. She can walk 100 metres before needing to rest, and symptoms improve with forward flexion and sitting. She has minimal back pain. MRI shows Grade I anterolisthesis of L4 on L5 with facet arthropathy, ligamentum flavum hypertrophy, and central canal stenosis. The disc space is well-maintained. Regarding degenerative spondylolisthesis:
Mark each as TRUE or FALSE
Degenerative spondylolisthesis (DS) occurs due to facet joint degeneration and incompetence without ...
Diagnosis is confirmed on lateral radiographs (standing preferred - dynamic slip may reduce when sup...
Degenerative spondylolisthesis involves a pars defect; L5-S1 is the most common level; males are mor...
Conservative treatment includes activity modification, NSAIDs, physical therapy (core strengthening,...
Surgical options include decompression alone (laminectomy) versus decompression with fusion; the lan...
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Click T (True) or F (False) for each option