Spondylolysis Flashcards
1
Q
What is spondylolysis?
A
A defect in the pars interarticularis
2
Q
Who is a affected?
A
Most common causes of lower back pain in children and adolescents
Esp GYMNASTS and FOOTBALL
3
Q
What is the aetiology of spondylolysis?
A
Fatigue fracture from REPITITIVE HYPEREXTENSION
4
Q
What is imaging identifies it?
A
xray- 80% identification of lesion
another 15% seen on oblique radiographs
= DEFECT IN THE NECK OF THE SCOTTIE DOG
5
Q
Is CT used to identify the spondylolysis?
A
yes or SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY (SPECT)
MORE UPTAKE on SPECT - ACUTE LESIONS that have potential to heal
6
Q
What is the tx of spondylolysis?
A
Aimed at symptomatic relief rather than fracture healing if no spondylolithesis ACTIVITY RESTRICTION FLEXION EXERCISES BRACING NON UNION- is common
7
Q
What is the prognosis of spondylolysis?
A
UNILATERAL DEFECTS ALMOST NEVER PROGRESS TO OLISTHESIS ( lumbar spine instability and slippage)
