Degenerative Spondylolisthesis CAT Flashcards
1
Q
What is a spondylolisthesis?
A
Forward slippage of one vertebra on the vertebra below
2
Q
Types of spondylolisthesis
A
- Congenital
- Isthmic
- Degenerative
- Post-traumatic
- Pathologic
3
Q
What causes degenerative spondylolisthesis
A
- Weakening of joints due to degenerative changes
- Changes include segmental ligamentous instability and subluxation of the hypertrophic facet joints
4
Q
What anatomical condition can occur as a result of spondylolisthesis?
A
Stenosis of the spinal canal
5
Q
Most common site of spondylolisthesis
A
L4-L5
6
Q
What neurological condition can occur as a result of spondylolisthesis?
A
Cauda equina
7
Q
Clinical presentation for degenerative sponylolisthesis (DS)
A
- 50+ y/o
- More common with African Americans
- Female > male
- Back pain that increases w/ exercise, prolonged standing, getting out of bed or car, stairs, extension
- Neurological changes in possible myotomal or dermatomal patterns
8
Q
Labs/imaging w/ DS
A
- X-ray
- CT or MRI to rule out other conditions
9
Q
PT management of DS
A
Bracing when necessary, flexion exercises, activity modification
