Spondylolysis
is a defect that occurs in the posterior part of the spine known as the pars intrarticularis.
There are many causes of spondylolysis. Spondylolysis usually occurs in young
athletes. This disorder is essentially a stress fracture of part
of the spine. When occurring at younger ages, it is often a source of lower back
pain. Interestingly, this defect will also show up in adults with back pain and
no prior history of injury or sports participation. Some adults are found to have
a spondylolysis who have no symptoms whatsoever.
Spondylolysis is seldom seen in patients
under the age of five and is found in five percent of people over the age of
seven. Whether there is a hereditary component of the disease is not clear, but
an explanation for the increase in instances relative to age could be explained
by the increase in activity of children, as they get older. Young children involved
in regular sports are more at risk of developing structural disorders including
spondylolysis. Spondylolysis is a common cause of back pain in children, and
the most likely cause of pain in patients under age 26, but rarely the only
cause of complaints after age 40. *
Spondylolysis becomes a problem if it
is painful or associated with instability of the spine. In these situations,
it may be associated with lumbar disc degeneration of narrowing of the area
where the nerve roots exit the spinal column (the neural foramina). This may
be a cause of back and leg pain.
Click here to find a doctor who treats spondylolysis. 

* Borenstein DG, Wiesel SW, Boden SD. Low Back Pain: Medical Diagnosis and Comprehensive Management. Philadelphia, PA: W.B. Saunder's Co.; 1995.

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| Published: February 21, 2008 |
Updated: February 21, 2008 |
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