Concluded Case

Spondylolysis

28 male , back pain , doc suggested LATERAL AND OBLIQUE VIEWS

3 Likes

LikeAnswersShare
Concluded answer

SPONDYLOLYSIS AS many of u mentioned the patient as pars interarticularis defect at mostly L5 and S1 level with grade I Anterolisthesis of L5 over S1

All Answers

L5 S1 lysis with grade 1 listhesis...if there is no history of trauma then get lateral views in maximum extension and maximum flexion...if there is trauma then LS corset...if the listhesis increases then requires stabilisation surgery otherwise physio required in the form of abdominal and back extension exercises

Thank you doctor
0

Spondylolysis L5 Minimal listhesis Will be obvious in a standing lateral view Oblique view will show Scottish terrier with a collar appearance. MRI evaluation to assess root compression and canal stenosis if symptoms are significant Lumbosacral corset

Thank you doctor
0

Fracture at L5 pars interarticularis *Anterolisthesis doubtful

*Pars interarticularis fracture *Listhesis is doubtful ??

Xray shows loss of lumbar lordosis may be due to muscle spasm. May be disc prolapsed post of L5and S1 causing pain back MRi may be helpful to see any post prolapse of disc of L5 and S1 causing thecal compression Rest in flat bed Spinal extension exerscises Lumbosacral belt to use NSAID with muscle relaxant

Isthmic Grade 1 Spondylolisthesis L5 - S1 .. Get a MRI scan done to look for any nerve compression.. As it is,grade 1 - no specific treatment is required Use of sacrolumbar belt Tab Etoricoxib 60 mg + Thiocolchicoside 4 mg B.D for 10 days . Vitamin D3 60 K units weekly for 2 months .

SPONDYLOLYSIS AS many of u mentioned the patient as pars interarticularis defect at mostly L5 and S1 level with grade I Anterolisthesis of L5 over S1

Get a dynamic xrays in flexion and extension to look for instability

# at L5 andIshthe.ismic garade1 Spondilo stbesis.

Muscular spasm and spinal canal stenosis

Load more answers