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Pars interarticularis defect

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

Low back pain, few hours after fall at work, landing on his back. No radiation of pain to thighs, no numbness.

Patient Data

Age: 35 years
Gender: Male
x-ray

Pars interarticularis defect of the 5th lumbar vertebra.

Mildly decreased disc space height with grade I spondylolisthesis at the L5-S1 level.

Case Discussion

Meyerding classification system of spondylolisthesis is: 1

  • grade I: 0-25%
  • grade II: 26-50% 
  • grade III: 51-75% 
  • grade IV: 76-100%  
  • grade V (spondyloptosis): >100%

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