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Multiple Choice

Unilateral spondylolysis with a dense unilateral sclerotic pedicle is known as which syndrome?

The pattern being tested is a recognizable radiographic syndrome where a defect in the pars interarticularis occurs on one side while the pedicle on the opposite side becomes densely sclerotic from chronic stress remodeling. This specific combination is known as Wilkinson syndrome. Why this fits: the dense sclerosis of the contralateral pedicle reflects the bone’s adaptive response to altered biomechanics from the unilateral pars defect, creating a distinctive unilateral-sclerosis sign that radiologists use to name this entity. It’s most often seen in adolescents or young athletes and is typically observed on oblique lumbar views, helping to differentiate it from isolated spondylolysis or other conditions. Other named syndromes listed are different radiographic patterns or conditions, whereas Wilkinson syndrome uniquely describes this unilateral spondylolysis with a dense contralateral pedicle sclerosis pattern.

The pattern being tested is a recognizable radiographic syndrome where a defect in the pars interarticularis occurs on one side while the pedicle on the opposite side becomes densely sclerotic from chronic stress remodeling. This specific combination is known as Wilkinson syndrome.

Why this fits: the dense sclerosis of the contralateral pedicle reflects the bone’s adaptive response to altered biomechanics from the unilateral pars defect, creating a distinctive unilateral-sclerosis sign that radiologists use to name this entity. It’s most often seen in adolescents or young athletes and is typically observed on oblique lumbar views, helping to differentiate it from isolated spondylolysis or other conditions.

Other named syndromes listed are different radiographic patterns or conditions, whereas Wilkinson syndrome uniquely describes this unilateral spondylolysis with a dense contralateral pedicle sclerosis pattern.