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Papers of the Week

2022 Dec 16

J Am Board Fam Med

Spondylolysis and Isthmic Spondylolisthesis: A Guide to Diagnosis and Management.


Mohile NV, Kuczmarski AS, Lee D, Warburton C, Rakoczy K, Butler AJ
J Am Board Fam Med. 2022 Dec 16.
PMID: 36526328.


Spondylolysis and isthmic spondylolisthesis are commonly implicated as organic causes of low back pain in this population. Many patients involved in sports that require repetitive hyperextension of the lumbar spine like diving, weightlifting, gymnastics and wrestling develop spondylolysis and isthmic spondylolisthesis. While patients are typically asymptomatic in mild forms, the hallmark of symptoms in more advanced disease include low back pain, radiculopathy, postural changes and rarely, neurologic deficits.