L4-5 anterolisthesis - grade II

Case contributed by Jose Ignacio Aragon
Diagnosis certain

Patient Data

Age: 35 years
Gender: Male
x-ray

Anterior displacement of L4 in relation to L5, Grade II anterolisthesis.

Straightening of the lumbar lordosis.

Case Discussion

Spondylolisthesis refers to the displacement of vertebral body, in relation to its inferior vertebra.

  1. Retrolisthesis: Posterior displacement of vertebral body relative to the one below.
  2. Anterolisthesis: Anterior displacement of vertebral body relative to the one below.

Grading

  • grade I: < 25% displacement of the vertebral body.
  • grade II: 25-50% displacement of the vertebral body.
  • grade III: 50-75% displacement of the vertebral body.
  • grade IV: 75-100% displacement of the vertebral body.
  • grade V: spondyloptosis

Case courtesy of Dr Jose R Zuniga.

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