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Multiple Choice

A dysplastic cause of spondylolisthesis is which Wiltse classification?

The main idea here is how Wiltse classifies spondylolisthesis by cause. The dysplastic form is a congenital abnormality at the lumbosacral junction that predisposes to vertebral slipping. It isn’t due to a pars interarticularis fracture (that would be the isthmic pattern), nor to degenerative joint changes, acute trauma, or a pathologic process. Because the question asks for a dysplastic cause, the Wiltse category that fits best is the dysplastic (congenital) type. Understanding this helps distinguish slips caused by congenital malformations from those caused by pars defects, degeneration, trauma, or disease.

The main idea here is how Wiltse classifies spondylolisthesis by cause. The dysplastic form is a congenital abnormality at the lumbosacral junction that predisposes to vertebral slipping. It isn’t due to a pars interarticularis fracture (that would be the isthmic pattern), nor to degenerative joint changes, acute trauma, or a pathologic process. Because the question asks for a dysplastic cause, the Wiltse category that fits best is the dysplastic (congenital) type. Understanding this helps distinguish slips caused by congenital malformations from those caused by pars defects, degeneration, trauma, or disease.