Bilateral Spondylolysis Pars Interarticularis L5
In athletes this type of injury can be seen when the back is bent backwards repeatedly in activities such as gymnastics karate and football.
Bilateral spondylolysis pars interarticularis l5. Spondylolysis is a stress fracture that commonly occurs in the pars interarticularis at the l5 vertebra. They can be on one or both sides of the vertebrae. Bilateral l5 spondylolytic pars defects. The stress lesion usually wholly heals.
Spondylolysis dr henry knipe and radswiki et al. This defect is in the pars interarticularis which is a small bony arch toward the back of the spine. The most common cause of low back pain is muscular secondary to. In about 25 of cases where fracture nonunion occurs a fibrous mesh connective tissue is laid down rather than bone.
With the condition of spondylolisthesis the pars interarticularis defect can be on one side of the spine only unilateral or both sides bilateral. Spondylolysis most commonly occurs in the lower back in the lowest lumbar vertebra l5. Specifically this is common in offensive and defensive linemen. Lumbar spondylolysis a unilateral or bilateral stress fracture of the narrow bridge between the upper and lower pars interarticularis is a common cause of low back pain lbp in adolescent.
Spondylolysis spon dee low lye sis is defined as a defect or stress fracture in the pars interarticularis of the vertebral arch. Note that the degree of spondylolisthesis can progress over time. It is a common cause of low back pain in children and adolescents. This is a common condition among sports people or individuals who frequently lift heavy items.
The definition of spondylolysis must also point out that the defect may be on one side of the pars interarticularis known as unilateral spondylolysis or on both sides known as bilateral spondylolysis. According to the asian spine journal spondylolysis is a common cause of lower back pain. This bone segment joins the facet joints of the spine which can be cracked or fractured. Spondylolysis is a defect in the pars interarticularis of the neural arch the portion of the neural arch that connects the superior and inferior articular facets.
These fractures are not healed and at this point they are not expected to heal. A pars defect or spondylolysis is a stress fracture of the bones of the lower spine. The pars interarticularis is the part of the vertebra between the superior and inferior facets. There is a gap of about 3 mm in the pars defects themselves.
Spondylolysis pars defect. The vast majority of cases occur in the lower lumbar vertebrae l5 but spondylolysis may also occur in the cervical vertebrae. There is very subtle grade 1 anterior spondylolisthesis measuring just a few millimeters on x ray and ct. It is commonly known as pars interarticularis defect or more simply as pars defect.