Spondylolysis & Spondylolisthesis: Pathogenesis and Clinical Findings
Pars interarticularis stress fracture (spondylolysis) - most frequently in the most stressed vertebrae, L5-S1
=> Weakened stability of lumbosacral joint
=> Forward slippage of vertebral body (spondylolisthesis)
• Lumbosacral tenderness
• Positive one-legged hyperextension test (Stork test)
• XR — scotty dog sign on oblique view of vertebrae
• CT - collar appearance of vertebrae
• Shortened stride length due to tight hamstrings
• Scoliosis
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