Imaging Pediatric Spondylolysis

Tofte, Josef N.; CarlLee, Tyler L.; Holte, Andrew J.; Sitton, Sean E.; Weinstein, Stuart L.

doi:10.1097/brs.0000000000001912

Cited by 49 publications

(44 citation statements)

References 18 publications

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“…e definitive diagnosis of spondylolysis cannot be made with physical examination alone and, therefore, requires imaging for diagnosis. Various studies have evaluated one modality in comparison to a control; however, there is no absolute gold standard for radiographic diagnosis [13]. Typically, plain film x-rays are used for initial diagnosis as they are inexpensive and relatively low in radiation dosage.…”

Section: Radiographic Diagnosismentioning

confidence: 99%

“…Although four-view plain film x-rays, which include oblique views, can be helpful in diagnosis of spondylolysis, the sensitivity is comparable to two-view films [14]. Compared to four-view x-rays, two-view films involve one-half the radiation dosage [14] and nearly two-thirds the cost [13,14].…”

Section: Radiographic Diagnosismentioning

confidence: 99%

“…Lastly, comparing MRI to SPECT, where SPECT was the control gold standard, the sensitivity of MRI is 80% [18]. In analyzing the appropriate diagnostic imaging algorithm, various sequences are reviewed in the literature [13,18]. e most up-to-date systematic review of 10 major pediatric imaging studies conditionally recommends the following: MRI as the initial advanced imaging option after plain films with CT scans recommended in equivocal situations [13,19].…”

Section: Journal Of Sports Medicinementioning

confidence: 99%

“…In analyzing the appropriate diagnostic imaging algorithm, various sequences are reviewed in the literature [13,18]. e most up-to-date systematic review of 10 major pediatric imaging studies conditionally recommends the following: MRI as the initial advanced imaging option after plain films with CT scans recommended in equivocal situations [13,19]. MRI remains a better diagnostic tool for the early detection of pars injury than CT; however, CT is superior for longitudinal follow-up [20,21].…”

Section: Journal Of Sports Medicinementioning

confidence: 99%

“…MRI remains a better diagnostic tool for the early detection of pars injury than CT; however, CT is superior for longitudinal follow-up [20,21]. CT and MRI are comparable to SPECT with significantly lower irradiation [13]. MRI more consistently diagnosed subsequent lysis than positive SPECT alone [15].…”

Section: Journal Of Sports Medicinementioning

confidence: 99%

See 4 more Smart Citations

Spondylolysis in Young Athletes: An Overview Emphasizing Nonoperative Management

Goetzinger

Courtney

Yee

et al. 2020

Journal of Sports Medicine

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Lumbar spondylolysis is a unilateral or bilateral defect of the pars interarticularis, an isthmus of bone connecting the superior and inferior facet surfaces in the lumbar spine at a given level. Spondylolysis is common in young athletes participating in sports, particularly those requiring repetitive hyperextension movements. The majority of young athletes are able to return to full sport participation following accurate diagnosis and conservative management, including a structured treatment program. Surgical intervention for isolated pars injuries is seldom necessary. A progressive physical therapy (PT) program is an important component of recovery after sustaining an acute pars fracture. However, there is a paucity of literature detailing PT programs specific to spondylolysis. Here, we provide an overview of the epidemiology, natural history, radiographic evaluation, and management of pars fractures in young athletes. In addition, a detailed description of a physiotherapy program for this population that was developed at a spine center within an academic medical center is provided.

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Section: Radiographic Diagnosismentioning

confidence: 99%