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Spine
intermediate
X-Type

Spondylolisthesis Management

Spinal Deformity

A 16-year-old male competitive gymnast presents with 6 months of low back pain that worsens with hyperextension activities. He has hamstring tightness and a palpable step-off at L5-S1. His gait shows a waddling pattern with short stride. Radiographs reveal Grade II spondylolisthesis at L5-S1 with bilateral pars defects. He has no neurological deficits. Despite 3 months of conservative treatment including activity modification and physiotherapy, his symptoms persist. Regarding spondylolisthesis:

Mark each as TRUE or FALSE

A

The Wiltse classification includes Type I (dysplastic - congenital superior sacral facet abnormality...

B

The Meyerding classification grades slip percentage: Grade I (0-25%), Grade II (25-50%), Grade III (...

C

Degenerative spondylolisthesis is most common in adolescent athletes; isthmic spondylolisthesis typi...

D

Most low-grade isthmic spondylolisthesis can be managed conservatively with activity modification, p...

E

High-grade spondylolisthesis (Grades III-IV) surgical considerations include the decision regarding ...

Answer the questions to see explanations

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