Title: Clinical Pearl over Radiological Pitfall in Terminal Stage of Spondylolysis in Athlete: A Case Report
Authors: Ashay Jadhav, Anirban Mallick, Jahnavi Dande, Simarpreet Singh Kalra
DOI: https://dx.doi.org/10.18535/jmscr/v6i6.120
Abstract
Spondylolysis is an osseous defect of the pars interarticularis, thought to be a developmental or acquired stress fracture secondary to chronic low-grade trauma. It is encountered most frequently in adolescents, most commonly involving the lower lumbar spine, with particularly high prevalence among athletes involved in sports requiring repetitive hyperextension. Spondylolysis can be asymptomatic or can be a cause of spine instability, back pain, and radiculopathy. It is important to determine the staging and type of spondylolysis via radiological means in order to assess bony healing and return to play. Whereas MRI can be used for early detection, bone scan is used to differentiate between active lesion and chronic cases. Multislice CT with multiplanar reformats is the most accurate modality for detecting the bony defect and may also be used for assessment of osseous healing. The present report investigates into the radiological follow up and clinical recovery guiding return to play in an athlete with multi level terminal stage spondylolysis.
Keywords: spondylolysis, athlete, return to play.
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