Spondylolysis, a stress fracture in the lower back, often develops in adolescents, but symptoms may not appear until later in life, as the condition gradually worsens. Steve Paragioudakis, MD, and Marc Menkowitz, MD, of the Center for the Functional Restoration of the Spine in Shrewsbury, Toms River, and Edison, New Jersey, specialize in spondylolysis. They create individualized treatment plans to relieve the pain and strengthen your back, recommending surgery only when necessary for severe cases. To get help with lower back pain, call or schedule an appointment online today.
Spondylolysis, also called a pars defect or pars fracture, is a stress fracture occurring in the lower back. You’re more likely to develop spondylolysis when you perform repetitive movements that make you bend backward. This bending puts extra stress on a specific part of the vertebrae called the pars interarticularis.
Pars fractures typically begin in children and adolescents who participate in sports such as football, weightlifting, karate, and gymnastics. A pars fracture that starts in adolescence may not cause symptoms, however, until adulthood.
You may not have any symptoms at first, but they can develop over the years as the stress fracture worsens. Then you may experience:
In severe cases, spondylolysis weakens the bone so much that the vertebra can slip out of place. This condition, called spondylolisthesis, occurs in about 15% of patients who have untreated spondylolysis.
Your provider at the Center for the Functional Restoration of the Spine orders diagnostic testing after reviewing your medical history and symptoms and performing a physical examination.
Depending on your exam results, you may need an X-ray, CT scan, or MRI to verify spondylolysis and rule out other causes of your symptoms.
Your treatment begins with non-surgical therapies such as medication, rest, and physical therapy. You may also need bracing to immobilize your back and give the fracture time to heal.
When over-the-counter medications don’t help your pain, your provider may recommend a spinal epidural injection. This injection contains steroids that alleviate your pain by reducing inflammation.
If your symptoms still don’t improve after several months of conservative treatment, you may need to consider surgery. Spondylolysis often improves with spinal decompression that takes the pressure off the nerves. This decompression is then followed by a fusion to restore spinal stability.
You follow the same treatment plan should your vertebra slip and cause spondylolisthesis. However, you’re more likely to need surgery once a pars fracture progresses to this point.
The experienced team at the Center for the Functional Restoration of the Spine offers exceptional treatment for spondylolysis. To schedule an appointment, call or use the online booking feature today.