Question
A patient presented with neck pain and rigidity, which gets relieved after bathing in hot water and also after exercise. The cervical X-ray is shown below. What is the likely diagnosis?
| A. |
Spondylolisthesis
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| B. |
Spondylosis
|
| C. |
Compression fracture
|
| D. |
Osteoporosis
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Show Answer
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Correct Answer � A
Explanation
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|
Ans: A. Spondylolisthesis
Given X-ray showing a forward displacement of the vertebrae on the lower one, suggestive of spondylolisthesis.
Spondylolisthesis:
- Means forward translation of one segment of the spine upon another.
- The shift is nearly always between L4 and L5, or between L5 and the sacrum.
- Normal discs, laminae, and facets constitute a locking mechanism that prevents each vertebra from moving forwards on the one below.
- Forward shift (or slip) occurs only when this mechanism has failed.
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