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Multiple Choice

A Degenerative Spondylolisthesis at L4 is most common in what demographic?

Degenerative spondylolisthesis arises from age-related wear of the lumbar spine, like facet joint arthropathy and disc degeneration, which allows one vertebra to slip forward. Because these degenerative changes accumulate with age, it most commonly affects adults—typically middle-aged to older individuals. It’s less typical in children or adolescents, where spondylolisthesis is more often due to pars defects (isthmic type). So the demographic most commonly affected is adults.

Degenerative spondylolisthesis arises from age-related wear of the lumbar spine, like facet joint arthropathy and disc degeneration, which allows one vertebra to slip forward. Because these degenerative changes accumulate with age, it most commonly affects adults—typically middle-aged to older individuals. It’s less typical in children or adolescents, where spondylolisthesis is more often due to pars defects (isthmic type). So the demographic most commonly affected is adults.