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Spondylolisthesis - Diagnosis

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Diagnosis is by an Orthopaedician. Physical examination and other tests are conducted.


 Consult an Orthopaedician

 Explain the onset and duration of symptoms

 Discuss your daily activities and physical stress

 Inform if you had any spinal injury.

Your doctor will conduct a Physical examination to confirm the condition. It includes,

 Observing your posture to get an idea of the severity of the disease

 Observing movements of the back, which maybe limited and painful

 Palpation of the affected area, where the muscles are tight, which may cause pain on touch.

Other Tests

Special test You will be asked to raise your leg while keeping it straight; if uncomfortable and painful, this test will confirm the presence of spondylolisthesis.

X-ray, CT, MRI and Bone scans are other tests that your doctor will probably order to confirm the diagnosis.

Here is some helpful medical jargon!

The pars interarticularis is a portion of the lumbar spine joining the upper and lower joints. Trouble occurs when this portion cracks or fractures resulting in spondylolysis. An X-ray, giving an angled or oblique view, would confirm the condition. Next, your doctor will trace around the vertebral body and the bony ring on the X-ray film. The normal outline looks like a small dog; whereas, when a fracture occurs, the dog will appear to have a neck collar! This image substantiates the diagnosis of Spondylolysis.

When the fracture at the pars widens it shifts the fifth lumbar vertebra forward onto the sacrum of the pelvic bone. This results in spondylolisthesis. Your doctor will determine the amount of forward slippage by measuring the standing lateral spine X-rays.


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If you have a question about health related issues, you can now post it in our Ask An Expert section on our community website Medwonders.com and get answers from our panel of experts.
Posted by:  GuptaNavneet  Posted on: 09/29/2010
My wife is aged 32, she is suffering with Spondylolisthesis grade 2. Kindly advise me, who will be the best doctor whether Orthopadics or Neuro Surgen will treat. We are residing in Delhi,
Thanks
Navneet Gupta



Posted by:  ChinmayNath  Posted on: 08/27/2010
Spondylolisthesis may be-1)congenital 2)isthmic 3)degenerative 4) traumatic 5)Pathological 6)Iatrogenic.
It may be Grade 1-100% slip.High grade listhesis(Gr1&2), patients with unstable listhesis, neurological deficit and young symptomatic patients need operative treatment.



Posted by:  chandana Das  Posted on: 12/27/2008
lumber Spondylolisthesis at 8 and 9 during three years




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