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Flashcards in Spondylolysis Deck (7):
1

What is spondylolysis?

A defect in the pars interarticularis

2

Who is a affected?

Most common causes of lower back pain in children and adolescents
Esp GYMNASTS and FOOTBALL

3

What is the aetiology of spondylolysis?

Fatigue fracture from REPITITIVE HYPEREXTENSION

4

What is imaging identifies it?

xray- 80% identification of lesion
another 15% seen on oblique radiographs
= DEFECT IN THE NECK OF THE SCOTTIE DOG

5

Is CT used to identify the spondylolysis?

yes or SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY (SPECT)
MORE UPTAKE on SPECT - ACUTE LESIONS that have potential to heal

6

What is the tx of spondylolysis?

Aimed at symptomatic relief rather than fracture healing if no spondylolithesis
ACTIVITY RESTRICTION
FLEXION EXERCISES
BRACING
NON UNION- is common

7

What is the prognosis of spondylolysis?

UNILATERAL DEFECTS ALMOST NEVER PROGRESS TO OLISTHESIS ( lumbar spine instability and slippage)