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Cervical spondylolysis.

J J Poggi¹, S Martinez, W T Hardaker

¹Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710.

Journal of Spinal Disorders

|September 11, 1992

Summary

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Cervical spondylolysis, a defect in the cervical spine, often improves with conservative treatment. Differentiating it from traumatic causes using specific X-ray findings is key for effective management.

Area of Science:

Orthopedics
Radiology
Spine Surgery

Background:

Cervical spondylolysis is a defect of the cervical spine's pars interarticularis, potentially congenital.
It requires differentiation from traumatic causes through radiographic analysis.

Purpose of the Study:

To report new cases of cervical spondylolysis.
To review the literature on cervical spondylolysis.
To outline diagnostic radiographic findings and management strategies.

Main Methods:

Review of 10 new cases of cervical spondylolysis.
Literature review on the condition.
Analysis of radiographic findings and treatment outcomes.

Main Results:

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All reported patients experienced symptomatic improvement with nonoperative treatment.
Characteristic radiographic findings include well-corticated margins, "bow tie" deformity, and dysplastic facets.
Associated findings may include compensatory hypertrophy, spina bifida, and spondylolisthesis.

Conclusions:

The majority of cervical spondylolysis cases can be managed effectively with conservative measures.
Surgical intervention is reserved for cases with failed nonoperative management or neurological compromise.