Flashcards in Spondylolysis Deck (7):
What is spondylolysis?
A defect in the pars interarticularis
Who is a affected?
Most common causes of lower back pain in children and adolescents
Esp GYMNASTS and FOOTBALL
What is the aetiology of spondylolysis?
Fatigue fracture from REPITITIVE HYPEREXTENSION
What is imaging identifies it?
xray- 80% identification of lesion
another 15% seen on oblique radiographs
= DEFECT IN THE NECK OF THE SCOTTIE DOG
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
What is the tx of spondylolysis?
Aimed at symptomatic relief rather than fracture healing if no spondylolithesis
NON UNION- is common