Lumbar Spondylolysis

Nguyen, Ngoc-Lam M.; Patel, Alpesh A.

doi:10.1097/01.css.0000415778.89774.f1

Cited by 2 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…46 CT is currently considered the gold standard for identifying spondylolysis. 46 It has replaced the lateral oblique view as a more sensitive method of identifying a pars defect. 5 Because of its superior bony resolution, multiplanar imaging capability, and utilization of thin-cut slices, borderline cases that are not readily apparent on plain radiographs may be readily visualized with this modality.…”

Section: Radiologic Evaluationmentioning

confidence: 99%

See 1 more Smart Citation

The Management of Acute Lumbar Stress Reactions of the Pedicle and Pars in Professional Athletes Playing Collision Sports

Vaccaro

Divi

Kepler

et al. 2020

Clinical Spine Surgery: A Spine Publication

View full text Add to dashboard Cite

Acute stress reactions in the lumbar spine most commonly occur in athletes at the pars interarticularis followed by the pedicle. These reactions occur as a result of repetitive microtrauma from supraphysiological loads applied to the lumbar spine. Characteristic motions such as trunk extension and twisting are also thought to play a role and may be sport-specific. Other risk factors include increased lumbar lordosis, hamstring and thoracolumbar fascia tightness, and abdominal weakness. On physical examination, pain is typically reproduced with lumbar hyperextension. Currently, magnetic resonance imaging or nuclear imaging remain the most sensitive imaging modalities for identifying acute lesions. In the elite athlete, management of these conditions can be challenging, particularly in those playing collision sports such as American football, hockey, or rugby. Nonoperative treatment is the treatment of choice with rehabilitation programs focused on pain-free positioning and progressive strengthening. Operative treatment is rare, but may be warranted for patients symptomatic for > 12 months. Specialized diagnosis protocols as well as treatment and return to play guidelines from 4 physicians treating elite athletes playing collision sports are presented and reviewed.

show abstract

Section: Radiologic Evaluationmentioning

confidence: 99%

“…1). 46 CT is currently considered the gold standard for identifying spondylolysis. 46 It has replaced the lateral oblique view as a more sensitive method of identifying a pars defect.…”

Section: Radiologic Evaluationmentioning

confidence: 99%

The Management of Acute Lumbar Stress Reactions of the Pedicle and Pars in Professional Athletes Playing Collision Sports

Vaccaro

Divi

Kepler

et al. 2020

Clinical Spine Surgery: A Spine Publication

View full text Add to dashboard Cite

show abstract

“…Spondylolysis is a bony defect of the pars interarticularis that most commonly occurs in the lower lumbar spine (1). This problem does not occur frequently in the mid-lumbar region.…”

Section: Introductionmentioning

confidence: 99%

U-Rod and Screw Construct Combined With Iliac Bone Grafting for Direct Repair of Teenager Mid-Lumbar Spondylolysis

Zhou¹,

Lin²,

Zhang³

et al. 2021

PMCR

View full text Add to dashboard Cite

Background: Spondylolysis is a bony defect of the pars interarticularis that most commonly occurs in the lower lumbar spine. However, the condition is rare in the mid-lumbar region. Here, we report on a new technique that involves the use of a U-rod and pedicle screw with iliac bone grafting for the direct intrasegmental repair of mid-lumbar spondylolysis in a teenager. Case Report: A 17-year-old male presented with complaints of mild low back pain after physical exercise, and the pain had aggravated in the last 3 months. Magnetic resonance imaging did not show compression of the intracanal neural tissue, and the lumbar discs did not demonstrate any obvious degeneration. He was diagnosed with L3 spondylolysis and lumbar sacralization. U-rod and screw construct with iliac bone grafting were used to directly repair the spondylolysis in L3. The low back pain totally disappeared 3 months after the surgery. A computerized tomography scan revealed the normal structure of L3 2 years post-surgically, and the internal fixation was removed 3 years later. Conclusions: This novel technique involving the use of a U-rod and pedicle screw associated with iliac bone grafting for the direct repair of mid-lumbar spondylolysis in the teenager yielded a satisfactory outcome, which was confirmed by favorable clinical and radiographic outcomes after 3 years. Key words: Mid-lumber spondylolysis, U-rod, direct repair

show abstract

Lumbar Spondylolysis

Cited by 2 publications

References 22 publications

The Management of Acute Lumbar Stress Reactions of the Pedicle and Pars in Professional Athletes Playing Collision Sports

The Management of Acute Lumbar Stress Reactions of the Pedicle and Pars in Professional Athletes Playing Collision Sports

U-Rod and Screw Construct Combined With Iliac Bone Grafting for Direct Repair of Teenager Mid-Lumbar Spondylolysis

Contact Info

Product

Resources

About