Spondylolysis: Fat- Friend or Foe?

Course Description

This course provides an in-depth review of spondylolysis and spondylolisthesis with emphasis on clinical presentation, diagnostic imaging, and evidence-informed management strategies. Special focus is placed on differentiating active versus inactive conditions and understanding the role of bone marrow fat in prognosis and treatment decision-making, particularly in athletic populations.

Learning Objectives

  1. Differentiate between spondylolysis and spondylolisthesis, including key etiological factors. 
  2. Recognize clinical presentations and perform appropriate orthopedic testing, including the Stork (Micheli’s) Test. 
  3. Interpret relevant imaging findings from plain film radiography and MRI. 
  4. Develop management strategies for active versus inactive cases, including the use of spinal manipulation and bracing. 
  5. Evaluate the clinical significance of bone marrow fat in determining prognosis and treatment planning, particularly in athletes.

Sponsor: NCMIC/Foot Levelers