Wiltse Classification Classification of Spondylolisthesis 1.) Dysplastic : Congenital malformation of the sacrum or neural arch of L5. 2.) Isthmic: Stress fracture, elongation, or acute fracture of the pars. 3.) Degenerative: Long-standing arthritic process of the zygapophyseal joints. 4.) Traumatic: Neural arch fracture excluding the pars region. 5.) Pathologic: Bone disease – Paget’s, Metastatic disease, or [[Osteopetrosis]]. 6.) Iatrogenic: Following lumbar spine surgery Reference: Wiltse LL, Newman PH, Macnab I. “Classification of spondylolysis and spondylolisthesis.” Clin Orthop Relat Res. 1976 Jun;(117):23-9.