LUMBAR spondylolytic spondylolisthesis Flashcards
1
Q
sponylolytic spondylolisthesis classic presentation
A
- young male athlete comes in with hyperextension injury
- belt-like lower back pain
- deep dull ache in back, tight hamstrings, and psoas spasm
- worse with walking and extension
2
Q
similar DDX’s
A
- lumbar radiculopathy
- lumbar strain
3
Q
supporting factors
A
- increased lumbar lordosis
- waddling gait
- bilateral foot flare
- tight hamstrings, psoas spasms
- plays rugby
worst when standing, walking and extending - better with rest and forward flexion
4
Q
refuting factors
A
- radiculopathy
- upper lumbar pain
5
Q
relevant orthos
A
- standing kemps
- storks test
- goldwaiths
6
Q
referrals
A
- x-ray lateral lumbopelvic to look at pars
7
Q
contraindication
A
- avoid lumbar side postures
8
Q
technique
A
- side posture posterior sacrum
9
Q
care plan
A
2 x a week for 4 weeks
10
Q
recommendations
A
- avoid hyperextension, heavy lifting and twisting
- use brace and lumbar belt for support
11
Q
prognosis
A
- guarded, will need intensive care for 1-3 months
