Pars Interarticularis Injections in a Patient with Spondylolysis: A case report.
10.3344/kjp.2005.18.2.251
- Author:
Sang Cheol PARK
1
;
Joon Byum PARK
;
Young Eun KWON
;
Jun Hak LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea. jun373@hanmail.net
- Publication Type:Case Report
- Keywords:
pars interarticularis injection;
spondylolysis
- MeSH:
Anti-Inflammatory Agents, Non-Steroidal;
Athletes;
Back Pain;
Bone Resorption;
Braces;
Child;
Humans;
Middle Aged;
Spine;
Spondylolysis*;
Young Adult
- From:The Korean Journal of Pain
2005;18(2):251-254
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spondylolysis, also known as stress injury of pars interarticularis, is a common cause of back pain in athletes, particularly children and young adults. Repeated minor traumas during flexion and extension of the spine are thought to result in bony failure due to excessive bone resorption. These lesions are common in the low back, with the majority found at the L5 vertebra. In the majority of cases of spondylolysis, non-operative treatments are recommended, such as NSAIDs, physiotherapy and bracing. Only if symptoms do not respond to conservative treatments should surgical intervention be considered. Recently, pars interarticularis injections for diagnostic and therapeutic purposes have been found to allow significant pain relief from spondylolysis for long periods. Here, the case of a 57-year-old man with spondylolysis, who suffered from back pain, which was not relieved by an epidural steroid injection, but in whom pars interarticularis injections of local anesthetic and steroid induced complete transient pain relief, following by moderate long-term relief, is presented.
