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Grade 2 anterio-listheseis of L5 over S1 -Doctors …

Rupture with partial anterior migration of the L5–S1 disc as well as minimal posterior bulging of the L4–L5 disc

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Grade 1 anterolisthesis the warning by 1984 of l4 on ..

Type II. Isthmic: This type results from a defect in the pars interarticularis that allows forward slipping of L5 on S1. Three types of isthmic spondylolistheses are recognized:

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He MRI -LS spine shows grade 1 anterolisthesis of L4-L5 mild posterior bulge of desiccated L4-5 disc indenting the thecal sac and the left L5 nerve root. The patient comes from a lower economic background and they didn't have the necessary funds to carry out the surgery that had been advised by the orthopedic.

Spondylolisthesis - PhysioWorks

of these tests are not considered positive unless pain radiates distal to the knee in the distribution of the involved L5 or S1 nerve roots

Isthmic spondylolisthesis, the most common form of this condition, is caused by a bony defect (or fracture) in an area of the pars interarticularis, an area located in the roof (laminae) of the vertebral structure. This bony defect occurs in approximately 4% of the population, and results from a genetic failure of bone formation. The condition most commonly affects the fourth and fifth lumbar vertebrae (L4 and L5) and the first sacral vertebra (S1). It is interesting to note that the condition is not always painful.

Type I. Dysplastic: This type results from congenital abnormalities of the upper sacral facets or inferior facets of the fifth lumbar vertebra that allow slipping of L5 on S1. There is no pars interarticularis defect in this type. The sacrum is not strong enough to withstand the weight and stress. Thus, the pars and inferior facets of L5 are deformed. If the pars elongates, it is impossible to differentiate it by x-ray from the isthmic (type II b) Spondylolisthesis. If the pars separates, it becomes impossible to differentiate it by x-ray from the isthmic lytic (type II a) Spondylolisthesis. This type is also associated with sacral and neural arch deficiencies. It has a familial tendency.

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Dysplastic Spondylolisthesis results from congenital abnormalities of the upper sacral facets or inferior facets of the fifth lumbar vertebra that allow slipping of L5 on S1.

Grade 2 Anterolisthesis L5 S1
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