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.
Anti-Inflammatory Agents, Non-Steroidal ; Athletes ; Back Pain ; Bone Resorption ; Braces ; Child ; Humans ; Middle Aged ; Spine ; Spondylolysis* ; Young Adult

The prognosis of unresectable advanced gastric cancer is extremely poor. We tried a neoadjuvant chemotherapy in locally advanced unresectable stomach cancer diagnosed by initial explo-laparotomy. After chemotherapy with the FADE regimen (5-fluorouracil + adriamycin + cisplatin + etoposide), the patient was diagnosed clinically as a complete response state on re-staging with radiological gastrointestinal study, fiber-gastroscopy and computerized tomography. During the second-look operation, the advanced cancer was completely resected and the pathological diagnosis was early gastric cancer (EGC) type IIc, stage II (T1N2Mo).
Adenocarcinoma/*drug therapy/radiography ; Antineoplastic Combined Chemotherapy Protocols/*therapeutic use ; Case Report ; Cisplatin/*administration & dosage ; Combined Modality Therapy ; Doxorubicin/*administration & dosage ; Etoposide/*administration & dosage ; Fluorouracil/*administration & dosage ; Human ; Male ; Middle Age ; Stomach/pathology/radiography ; Stomach Neoplasms/drug therapy/radiography/*surgery ; Tomography, X-Ray Computed