L4 bilateral spondylolysis, radiograph
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1241-L4 bilateral spondylolysis, radiograph
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CB1241-L4 bilateral spondylolysis, radiograph
Case ReportHistory
Exam
Prior Study
Findings
Technique
The thoracolumbar junction and the lumbosacral junction are included on the exam. The exam is mildly over penetrated, but can be adjusted by changing the window settings
Prevertebral and paravertebral soft tissues
The prevertebral or paravertebral soft tissues are normal.
Spinal alignment
There is grade 1 spondylolisthesis at L4-L5.
The anterior and posterior vertebral body lines are interrupted or offset at L4-L5 from spondylolisthesis.
The visualized spinous processes are not malaligned or distracted.
There is normal lordosis of the lumbar spine.
Vertebral bodies, posterior elements, and included sacral segments
There are 5 non rib-bearing vertebral bodies.
There is spondylolysis with lucency or defect of the pars interarticularis bilaterally at L4, from stress fractures.
The posterior elements and included sacral segments are normal.
Disc spaces and facet joints
There is no narrowing, distraction, or focal widening of a disc space.
There is grade 1 anterior spondylolisthesis at L4-L5.
There is no facet joint or foraminal widening, narrowing, or sclerosis other than from degenerative change.
Additional soft tissues and bones (lower thorax, abdomen, and pelvis)
The bowel gas pattern and abdominal soft tissues are normal.
The included thoracic spine, ribs, lungs, and remainder of the bony pelvis are normal.
Other findings
There are no other existing conditions that might be contributing to symptoms which can or should be further evaluated non-emergently.
