Question

What should be the most likely diagnosis of this 65 year old lady presents with backache and following radiograph of the spine shown in image?

• A. Osteoporosis
• B. Spondylolisthesis
• C. Spondylolysis
• D. Discitis

Answer 1

The Correct Option is B

Spondylolisthesis is the most likely diagnosis for the 65-year-old lady who presents with backache and the described characteristics in the radiograph of the spine. This condition involves the displacement of a vertebra and is often associated with aging-related degenerative changes. The key points supporting this diagnosis include:

• Definition: Spondylolisthesis refers to the forward or backward displacement of a vertebra over the one below it, which can lead to pain and reduced function.
• Symptoms: Typical symptoms include lower back pain, which may radiate to the legs, and this condition is common in older adults due to degenerative processes.
• Radiographic Features: X-rays often show the misalignment of vertebrae. The image associated with the question likely depicts this characteristic slippage.
• Differential Diagnosis: While osteoporosis, spondylolysis, and discitis could present with back pain, the radiographic indication of vertebral misalignment aligns more closely with spondylolisthesis.