Feature Question

(OBQ09-15) A 17-year-old high school football lineman was diagnosed with the condition shown in the Figure A radiograph. He continues to have pain despite 6 months of wearing a custom lumbar spine orthotic (LSO) and avoiding all sports activities. His physical exam is notable for pain with single-limb standing lumbar extension and a normal neurologic exam. How would the surgical management differ if this condition occurred at L3 instead of L5? REVIEW TOPIC
FIGURES: A          

1. Pars interarticularis repair is indicated
2. Lumbosacral fusion is indicated
3. Gill procedure is indicated
4. Combined anterior interbody fusion and posterior decompression is indicated
5. Iliac crest bone grafting is indicated

PREFERRED RESPONSE >