Management of spondylolysis
Sami Mohamed Elsayed;
Abstract
Spondylolysis is a cleft in the pars interarticularis. It affects approximately about 5% of all population.
It was postulated that it results from of a fatigue fracture
caused by repeated stresses with underlying genetic or constitutional predisposition.
Athletes are the most vulnerable group to be affected by spondylolysis, mainly gymnastics and fast bowlers.
It is usually affects lower lumbar region and rarely occurs in
upper lumbar and cervical regions.
Clinically patients usually complains of back pam rarely referred to lower limb (only when facet joint hypertrophy reduces width of intervertebral foramen).little finding usually obtained.
Radiolqgically, it could be detected using plain X-ray, and a specific radiological signs usually found in oblique views. C.T. tomogram also, is useful in its diagnosis; there is a sure sign; double defects in one cut.
On the other hand, MRI provides little knowledge. As MRI specificity is not so great. Bone scan is an important investigation to detect on going healing.
It was postulated that it results from of a fatigue fracture
caused by repeated stresses with underlying genetic or constitutional predisposition.
Athletes are the most vulnerable group to be affected by spondylolysis, mainly gymnastics and fast bowlers.
It is usually affects lower lumbar region and rarely occurs in
upper lumbar and cervical regions.
Clinically patients usually complains of back pam rarely referred to lower limb (only when facet joint hypertrophy reduces width of intervertebral foramen).little finding usually obtained.
Radiolqgically, it could be detected using plain X-ray, and a specific radiological signs usually found in oblique views. C.T. tomogram also, is useful in its diagnosis; there is a sure sign; double defects in one cut.
On the other hand, MRI provides little knowledge. As MRI specificity is not so great. Bone scan is an important investigation to detect on going healing.
Other data
| Title | Management of spondylolysis | Other Titles | طرق تشخيص وعلاج الانحلال الفقارى | Authors | Sami Mohamed Elsayed | Issue Date | 2003 |
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