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DYSPLASTIC (Wiltz TYPE 1)
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ISTHMIC (Wiltz TYPE 2)
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DEGENERATIVE (TYPE 3)
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What are the types of spondylolisthesis?
How to classify severity?
What is low grade vs high grade?
How can you investigate ?
What are the features of dynamic instability?
How to measure slip angle?
What is the association of Listhesis with pelvic incidence, Sacral slope or Pelvic tilt?
Is reduction necessary?
What are the benefits of reduction?
At which stage of reduction is nerve injury the highest?
What are XR features of dysplastic spondylolisthesis?
How will you approach this patient?
What do they present with? What special gait?
How to classify dysplastic spondylolisthesis?
Management of dysplastic spondylolisthesis?
What is the typical patient?
What are the subtypes of Isthmic Spondylolisthesis?
Mechanism of injury?
What are the risk factors of progression?
Which location most common?
Difference in neurology compared to degenerative spondylolisthesis? If radiculopathy present what is causing it?
What is the step you feel in the patient’s back if this is a L4/5 Spondylolysis?
Why is there pain in extension?
What is listhesis crisis?
What investigation?
Indications for Pars repair?
Stable, Unilateral Lysis - how will you manage? Outcomes?
Stable, Bilateral Lysis - management?
Stable lysis but Persistent symptoms? what will you do?
How will you manage unstable Spondylolysis?
What is the principle of lysis repair?
What if associated with spina bifida?
Why L5 nerve root irritation?
Most common segment?
What are the indications for surgery?
If non op fail how will you treat?
Evidence for decompression alone or decompression + fusion?
What do you know about the SPORT trial?
What is the role of PT for spondylolisthesis?