Spondylolysis: Defect/break in pars interarticularis
Repetitive microtrauma is likely etiology
Spondylolisthesis: Spondylolysis + anterior slippage of vertebral body in relation to vertebra below
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Chung CC et al: Lumbosacral spondylolysis and spondylolisthesis. Clin Sports Med. 40(3):471-90, 2021
Achar S et al: Back pain in children and adolescents. Am Fam Physician. 102(1):19-28, 2020
Manfrè L et al: Percutaneous CT-guided lumbar trans-facet pedicle screw fixation in lumbar microinstability syndrome: feasibility of a novel approach. Neuroradiology. 62(9):1133-40, 2020
Therriault T et al: Development of a preliminary multivariable diagnostic prediction model for identifying active spondylolysis in young athletes with low back pain. Phys Ther Sport. 45:1-6, 2020
Finkenstaedt T et al: Ultrashort time-to-echo magnetic resonance imaging at 3 T for the detection of spondylolysis in cadaveric spines: comparison with CT. Invest Radiol. 54(1):32-8, 2019
Lemoine T et al: The prevalence of lumbar spondylolysis in young children: a retrospective analysis using CT. Eur Spine J. 27(5):1067-72, 2018
Nitta A et al: Prevalence of symptomatic lumbar spondylolysis in pediatric patients. Orthopedics. 1-4, 2016
Bouras T et al: Management of spondylolysis and low-grade spondylolisthesis in fine athletes. a comprehensive review. Eur J Orthop Surg Traumatol. 25 Suppl 1:S167-75, 2015
Gum JL et al: Characteristics associated with active defects in juvenile spondylolysis. Am J Orthop (Belle Mead NJ). 44(10):E379-83, 2015
Leonidou A et al: Treatment for spondylolysis and spondylolisthesis in children. J Orthop Surg (Hong Kong). 23(3):379-82, 2015
Trout AT et al: Spondylolysis and beyond: value of SPECT/CT in evaluation of low back pain in children and young adults. Radiographics. 35(3):819-34, 2015
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Synonyms
Lysis, isthmic spondylolysis
Definitions
Spondylolysis: Defect/break in pars interarticularis
Repetitive microtrauma is likely etiology
Spondylolisthesis: Spondylolysis + anterior slippage of vertebral body in relation to vertebra below
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Chung CC et al: Lumbosacral spondylolysis and spondylolisthesis. Clin Sports Med. 40(3):471-90, 2021
Achar S et al: Back pain in children and adolescents. Am Fam Physician. 102(1):19-28, 2020
Manfrè L et al: Percutaneous CT-guided lumbar trans-facet pedicle screw fixation in lumbar microinstability syndrome: feasibility of a novel approach. Neuroradiology. 62(9):1133-40, 2020
Therriault T et al: Development of a preliminary multivariable diagnostic prediction model for identifying active spondylolysis in young athletes with low back pain. Phys Ther Sport. 45:1-6, 2020
Finkenstaedt T et al: Ultrashort time-to-echo magnetic resonance imaging at 3 T for the detection of spondylolysis in cadaveric spines: comparison with CT. Invest Radiol. 54(1):32-8, 2019
Lemoine T et al: The prevalence of lumbar spondylolysis in young children: a retrospective analysis using CT. Eur Spine J. 27(5):1067-72, 2018
Nitta A et al: Prevalence of symptomatic lumbar spondylolysis in pediatric patients. Orthopedics. 1-4, 2016
Bouras T et al: Management of spondylolysis and low-grade spondylolisthesis in fine athletes. a comprehensive review. Eur J Orthop Surg Traumatol. 25 Suppl 1:S167-75, 2015
Gum JL et al: Characteristics associated with active defects in juvenile spondylolysis. Am J Orthop (Belle Mead NJ). 44(10):E379-83, 2015
Leonidou A et al: Treatment for spondylolysis and spondylolisthesis in children. J Orthop Surg (Hong Kong). 23(3):379-82, 2015
Trout AT et al: Spondylolysis and beyond: value of SPECT/CT in evaluation of low back pain in children and young adults. Radiographics. 35(3):819-34, 2015
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