Degnerative Spondylolisthesis

Question 1

What is degenerative spondylolisthesis

Answer 1

1. Vertebral body slipping forward
2. Lamina and pars interarticularis are intact

Question 2

what is retrolisthesis

Answer 2

Slips posteriorly on vertebrae

Question 3

What are the symptoms of spondylolisthesis

Answer 3

1. Back pain
   *worse with bending, lifting, twisting
2. Radiculopathy

Question 4

What will be on the PE

Answer 4

1. Step off deformity
2. Motor/sensory function of L1-S4
3. Diminished knee/ankle reflexes
4. Motor exam is usually normal

Question 5

What tests to conduct

Answer 5

Radiographs
MRI

Question 6

What is the treatment

Answer 6

1. NSAIDs
2. Therapy (strengthen abs/LB)
3. Weight loss
4. May require surgery over time

Question 7

What is the common place of degenerative spondylolisthesis to occur

Answer 7

L4/L5