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Spondylolisthesis
Types of Spondylolisthesis
Dysplastic Spondylolisthesis
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Hiri P
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Cards (2)
Spondylolisthesis –
Dysplastic
(pts in
adolescence
):
Congenital defect
of
facets
(
upper S1
or
lower L5
facets
)
No pars interarticularis fracture
, but
pars
can
elongate
causing
slippage
of
L5
over
S1
Pain
often in
adolescence
Likely
to
progress
Possible
presentation of
neurological symptoms
Probably
presents with
Phalen-Dickson
Sign:
Tight hamstrings
Lordotic posture
Bent knees
Flexed hips
Waddling gait
Spondylolisthesis – Dysplastic (pts in adolescence):
Dysplastic
Spondylolisthesis - pts in
adolescence
Congenital defect
of
facets
(
upper S1
or
lower L5 facets
)
No pars interarticularis fracture
, but
pars
can
elongate
causing
slippage
of
L5
over S1
Pain
often in
adolescence
Likely
to
progress
Possible presentation of
neurological symptoms
Probably presents with
Phalen-Dickson
Sign:
Tight hamstrings
Lordotic posture
Bent knees
Flexed hips
Waddling gait