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My Child Has Spondylolysis - Part 2
Monday, November 20, 2017

In case you missed it, we recently began a series on spondylolysis.  Our first article addressed what the condition is and today we will be looking at how it is diagnosed.  



How is spondylolysis diagnosed?

Whenever an athlete (especially one who’s 10 to 15 years old) experiences low back pain following a traumatic event, spondylolysis must be considered as a potential cause of the pain. The symptoms of spondylolysis typically include pain in the low back, mid-back or neck, depending upon where the problem area lies.

One test that is useful in diagnosing spondylolysis is the one-legged hyperextension maneuver. The patient stands on one leg in a position that hyperextends the lumbar spine; he or she then repeats the move on the opposite side. If the test produces pain, this can indicate active spondylolysis.

If spondylolysis is suspected, x-rays of the lumbar spine are used to evaluate the position of the vertebra. When necessary, a whole-body bone scan and CT scan can be used to detect a spondylolysis that is not visible on regular x-rays. If there is evidence of pressure on the lumbar nerves, then an MRI may be needed to further assess the abnormality.

For any young person with low back pain, organic disease must also be considered as a possible cause of back pain. For example, diabetes and primary or metastatic cancer can cause lower back pain and must be ruled out prior to a definitive diagnosis of spondylolysis.



Be sure to subscribe to our blog to receive third installment in our series.  Until then, please contact us to schedule an appointment.





 
 
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