Consider spondylolysis in adolescent athletes presenting with low back pain

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PRACTICE

Consider spondylolysis in adolescent athletes presenting with low back pain

Steve Targett

Steve Targett

Lumbar vertebrae
On oblique views, the posterior elements of the lumbar vertebrae look like a Scottie dog. If spondylolysis is present, it often looks as if the dog has a collar around the neck (A). In spondylolisthesis, the fractured pars interarticularis separates (B)

SPORTS MEDICINE

This article discusses the diagnosis and treatment of injuries to the weakest portion of the vertebra, the pars interarticularis

Steve Targett

Key points, Consider spondylolysis if you see an adolescent athlete with extension-based low back pain, particularly one playing a sport requiring repetitive lumb