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Non-Isthmic Spondylolysis Imaging Features: A Case Report.
Clevio Desouza1, Chiranjivi Jani1, Vishal Patil1
1Department of Orthopaedics, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune. Maharashtra. India.
Journal of Orthopaedic Case Reports
|October 6, 2022
Summary
Lumbar spondylolysis, a common cause of low back pain in India, affects young adults in sports. This case highlights non-isthmic spondylolysis in a cricket player, treated effectively with pain management and bracing for early return to activity.
Area of Science:
- Orthopedics
- Sports Medicine
- Radiology
Background:
- Lumbar spondylolysis is a frequent cause of low back pain in India, particularly among children and adolescents.
- It affects 6-8% of adults, with many cases being asymptomatic.
- Fatigue features contribute to this condition in young adults engaged in strenuous activities.
Observation:
- A 25-year-old male cricketer presented with activity-related low back pain.
- Initial X-rays were inconclusive, but CT scan revealed a right non-isthmic spondylolysis at L5.
- The patient had no neurological deficits and had failed conservative treatment.
Findings:
- Diagnosis of non-isthmic spondylolysis was confirmed through imaging and clinical examination.
- The fracture line was noted to be more coronally oriented than typical spondylolysis.
- Conservative management focusing on pain relief and bracing facilitated an early return to sport.
Implications:
- Non-isthmic spondylolysis may result from high loading forces, particularly during weightlifting.
- Biomechanical strategies focusing on reducing extension loading could be beneficial for treatment.
- This case underscores the importance of advanced imaging and tailored treatment for athletes with low back pain.
