Approximately half of adult patients with symptomatic isthmic spondylolisthesis will have a positive straight leg test on examination.
There is insufficient evidence to make a recommendation for or against the use of palpation in the physical exam diagnosis of adult patients with isthmic spondylolisthesis.
Grade of Recommendation: I (Insufficient Evidence) 2.
These views may demonstrate a pars interarticularis abnormality, which is depicted as a defect in the collar of the ‘‘Scotty dog.’’ Radiographic evaluation should not be an isolated clinical examination.
It should be correlated with further examination such as history and physical examination.1.
[4) Radiographic examination provides the best diagnostic information when spondylolisthesis is suspected.
Isthmic Spondylolithesis Essay On Roots By Alex Haley
Standard lumbar anteroposterior and lateral views are needed, but oblique views are essential to visualize the pars interarticularis directly.
This pathology involves a fractured pars interarticularis of the lumbar vertebrae, also called the isthmus.
This affects the supporting structural integrity of the vertebrae, which could lead to slippage of the corpus of the vertebrae, called spondylolysthesis.
Grade of Recommendation: C (May Be Considered; Option)5.
There is insufficient evidence to make a recommendation for or against the use of single-photon emission computed tomography (SPECT) in evaluating isthmic spondylolisthesis in adult patients Multiple characteristics can be seen, such as the degree of the slip or the slip angle.