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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.
Most spondylolytic defects and cases of Spondylolisthesis are congenital. The prevalence of Spondylolisthesis in the general population is about 5% and is about equal in men and women. Spondylolysis and Spondylolisthesis most frequently involve L5, although L4 can also be affected and, rarely, more proximal levels.
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After completing his fellowship, Dr. Mok served as a major in the United States Army, where his duties included caring for members of elite special operations units. He also deployed as the orthopaedic surgeon for a combat support hospital in Iraq. He received notable military awards for his service, including the Meritorious Service Medal.
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:
Military Medical Standards: Spine and Sacroiliac Joints
MEB or ALC fast track as determined by the DAWG must be accomplished when the patient's future qualification for further military service is foreseeable and must not be delayed until receipt of maximum hospital benefit.
For posterior spinal decompression surgery to cause Spondylolysis or Spondylolisthesis, the surgery may occur any time before clinical onset of either condition.
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24/03/2015 · USNA Spondylolisthesis Waiver Denial
James Mok, MD, is a board-certified orthopaedic surgeon who specializes in the diagnosis and treatment of spine conditions, including herniated discs, spinal stenosis, spondylolisthesis and degenerative disc disease. He also cares for patients with cervical stenosis or myelopathy -- conditions in which the spinal cord and nerves become compressed in the neck. In addition, Dr. Mok has a special interest in utilizing minimally invasive surgery (MIS) to speed up recovery times after spine surgery.
We provided overwhelming medical documentation that he …
Spondylolysis and Spondylolisthesis usually cause no symptoms in children; however, many seek medical evaluation because of a postural deformity or gait abnormality. Pain most often occurs during the adolescent growth spurt and is predominantly backache, with only occasional leg pain. Symptoms are exacerbated by high activity levels or competitive sports and are diminished by activity restriction and rest. The back pain probably results from instability of the affected segment, and the leg pain is usually related to irritation of the L5 nerve root.
Spondylolisthesis is generally defined as an ..
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.
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