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Spondylolysis.

C J Standaert1, S A Herring, B Halpern

  • 1Department of Rehabilitation Medicine, University of Washington, Seattle, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 25, 2000
PubMed
Summary
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Spondylolysis, a pars interarticularis stress fracture, often causes back pain in adolescent athletes. Conservative treatment, including activity restriction, typically resolves symptoms effectively.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Radiology

Background:

  • Spondylolysis is a common radiographic finding, often asymptomatic.
  • Isthmic spondylolysis, a pars interarticularis lesion, can cause significant pain, especially in adolescent athletes.
  • This condition is often a stress fracture from repetitive spinal motion.

Purpose of the Study:

  • To review the pathophysiology, diagnosis, and management of spondylolysis.
  • To highlight the role of diagnostic imaging in assessing lesion acuity and symptom correlation.
  • To discuss conservative and surgical treatment options for spondylolysis.

Main Methods:

  • Review of current evidence on spondylolysis.
  • Discussion of diagnostic modalities including plain radiography, SPECT, CT, and MR imaging.

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  • Analysis of conservative management strategies and indications for surgery.

    • Main Results:

    • Spondylolysis frequently presents as focal low back pain (LBP).
    • Advanced imaging aids in determining lesion acuity and identifying symptomatic cases.
    • Conservative treatment, including activity modification and bracing, is generally successful.

    Conclusions:

    • Understanding spinal biomechanics and pathophysiology is crucial for patient care.
    • Early diagnosis and appropriate management are key to restoring function and relieving pain.
    • Most patients with spondylolysis achieve good outcomes with conservative care.