Isthmic Spondylolithesis

• Type 1: Congenital spondylolisthesis An elongation of the pars interarticularis can be seen in congenital spondylolisthesis, in which the pars lesion is due to a congenital anomaly of the L5-S1 facet articulation.As the slip progresses, the pars elongates in response to the deformity.

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This affects the supporting structural integrity of the vertebrae, which could lead to slippage of the corpus of the vertebrae, called spondylolysthesis.

• It is the opinion of the work group that in adult patients with history and physical examination findings consistent with isthmic spondylolisthesis, standing plain radiographs, with or without oblique views or dynamic radiographs, be considered as the most appropriate, non-invasive test to confirm the presence of isthmic spondylolisthesis.

• In the absence of a reliable diagnosis on plain radiographs, computed tomography scan is considered the most reliable diagnostic test to diagnose a defect of the pars interarticularis.

This relationship is known as neurogenic intermittent claudication According to Jerrad MD. in the first month after the first symptoms increase the likelihood of the formation of a bony callus. concluded that the formation of a bony unit is not inevitable for a good clinical outcome of therapy.

As it happens a fibrocartilaginous callus can also be sufficient for normal functioning and pain reduction, and can meet the requirements of an athlete.

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