Doctor insights on:
Bilateral Par Defect
Lumbar Pars Defect: The defect is a stress fracture of the posterior portion of the spine that connects the facet joints and lamina with the anterior vertebral body at the level of the pedicle. This process is also known as a spondylolysis. It occurs in 5% of the general population but can be as high as 15% in certain athletes like gymnasts and football lineman due to the lumbar hyperextension. ...Read more
Pars defect: Bilateral pars defect also commonly called spondylolysis is a stress fracture near the joint of the spine. This usually occurs in the lower lumbar spine and can be painful and cause instability. This defect often occurs during the teenage years but can persist into adulthood and become symptomatic later in life. ...Read more
Pars defect: Refers to the pars interarticularis which is the bone connecting the inferior and superior facets which is anterior to the lamina and posterior to the pedicle. There are two per vertebrae. Lumbar pars defects can occur in young athletes or from stress fractures secondary to chronic arthritic changes or sudden severe trauma. ...Read more
Me too!: Bilateral pars defects are genetic defects of the spine that mean that the joints that hold the spine together at that are, and you could be more prone to spondylolisthesis--the top vertebra slipping over the bottom, which can case back pain, and radicular pain from pinched nerves. My mother had this, and so do i. Mine caught earlier because I was a gymnast--didn't know I had this until too late. ...Read more
A defect in vertebra: This refers to a defect in the bone that connects the upper and lower facet joint of a vertebra. It is thought that most these arise as stress fractures that do not heal. The vast majority cause no symptoms. ...Read more
C5 pars defect:
Are you sure it is c5? L5 (lower back) is much more common... Just checking.
If it is indeed c5, there is neck pain and possible instability that may need to be addressed surgically. Please check with a good local ortho spine surgeon to get a good understanding of what you have and make an eductated decision after that. Best of luck! ...Read more
What to do if I have just recently learned I have bilateral pars defect in l5, what does this mean?
Spine defect known: As spondylolysis. Spondylo means spine ; lysis means crack. Can be congenital variety which is genetic in origin occuring in 6%-8% of us population or after trauma which can be repetitve particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen, etc. Most rx'ed non operatively ; cause no symptoms although some can lead to back ;/or leg pain or neuro symptom. ...Read more
What to do if I have just recently learned What to do if I have bilateral pars defect in l5, what does this mean?
If it is painful: Then the question is congenital, degenerative & is it unstable. Also is its traumatic, this may be very unstable. See a fellowship trained spine surgeon for advice and care. Orthopedic surgeon is my choice but neurosurgeons undergo the same fellowships. ...Read more
Called spondylolysis: Spondylo means spine and lysis means crack. These can be congenital variety which is genetic in origin occuring in 6%-8% of us population or after trauma which can be repetitve particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively. Many cause no symptoms but can cause back ;/or leg pain or neurologic symptoms. ...Read more
Spondylolisthesis: Isthmic spondylolisthesis is another term for what you are describing. Basically one of the vertebrae is shifted foreword over the other. What has caused this condition in your case is a "defect" if the pars interarticularis, which usually stabilizes the spine. This condition can be associated with back and leg pain and difficulty standing or walking for long periods. Many treaent options. ...Read more
Is there any surgery to fix a Grade 1 anterolisthesis of L4 and L5 with a bilateral pars defects on L4?
I have bilateral foraminal stenosis present at l4l5 with bilateral pars defect at L4 and am curious if the pars and stenosis can heal without surgery?
Generally, symptoms: Can resolve due to either condition the majority of the time without surgery as the only reason for surgery would be a failure of nonop care to control symptoms. If the pars defect was an acute fracture it has the potential to heal without surgery. But even if it doesn't or if not an acute fracture type, 90% are treated non op while only 15% of stenosis cases end up with surgical intervention. ...Read more
I have bilateral pars defect & spondylosis which is causing pain & swelling in my foot & ankle how long will my foot hurt for its been almost 2 wks?
Can L4 anterolisthesis & L5 posterolisthesis on s1 with bilateral pars defect at L4 cause venous insufficiency in both legs? If so why?
Bone, and discs, not vascular and would be incredibly unusual to slip, enough to compress major veins.
Trauma, coagulopathy, DVT lead to venous valvular leakage- insufficiency. ...Read more
Can lumbar spondylolisthesis & L4 bilateral pars defect w/ mild neural foramina stenosis cause tiny focal lesions in brain or is it 2 diff things?
Different things: Those are not related.Get a more detailed answer ›
Called spondylolysis: Spondylo means spine and lysis means crack. Can be congenital variety which is genetic origin occuring in 6% of us population or after trauma which can be repetitve particularly in certain high level athletes ie. Swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively. Chronic means long standing ; no potential for healing but not meaning remaining symptomatic. ...Read more
A CT results states: "bilateral pars interarticularis defects are present at l5." everything else normal. What does that mean?
Fracture: That part of the vertebral body that connects the body to the joints is the pars. Can break easily. ...Read more
I have a bilateral L5 pars defects and grade 1anterolisthesis of L5 relative to L4 and S1 I've been having back pain and hip and leg pain what is the options í have and will surgery fix my pain?
A spondylolisthesi-: -is, usually causes mainly back pain. L5 on S1 may cause some hip pain. But in young people+/-20, it is usually back pain. In older it may also cause spinal stenosis which is may B leg & back pain. The spine surgeons object is 2 relieve your pain. My wife at 66yrs had a fusion L4-S1, & has never looked back. Exercises @ a gym, , no pain. Not all R success stories. Listen 2 adverse effects. Goodluk ...Read more
Defect of spine:
A pars defect of the lumbar spine involves a part of a vertebra called
the pars interarticularis. " A defect in the pars is a break in this portion
of bone. This break leads to a separation of the upper, front portion of
the vertebra from its lower, back portion. This condition is a precursor
to another condition called spondylolisthesis, which allows slipping of
a vertebra in relation to the vertebrae above or below it.
Previously, it was assumed that pars defects were congenital
anomalies, or birth defects. Today, we understand that most pars
defects are really stress fractures that usually occur in the spines of
young people. The presumed cause is repeated hyperextension ...Read more
What is the basic meaning when MRI shows Bilateral L5 pars Interarticularis defects without subluxation? This incurred after a multiple car accident.
Spondylolysis: Spondylosysis, or pars interarticularis defect, is essentially a stress fracture of the narrow bridge of bone between vertebral body and the spinous process of the vertebrae. This is not an uncommon condition following repetitive trauma (seen also in gymnasts and football players). Subluxation occurs if the fracture separates from normal position and becomes displaced. ...Read more
Seeking non-surgical treatment options for adolescent bilateral grade 3 spondylolysis (pars defects) with herniated l5-s1 disc?
Options: Congenital variety genetic origin occuring in 6% us population in particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively including associated with herniated disc with bracing, physical therapy & medication and activity modification. Epidural steroid injections can also be considered with 90% treated nonop. ...Read more
I have bi-lateral pars defects and am getting pain in my right si joint. The pain is worse when standing. None of my treatment / medication has helped?
Varies: There are progressively more involved treatments that get more ipowerful, but also more involved based upon how much trouble you are having. The conservative things are living with it, activity modification, therapy, chiropractic, or medications; the more aggressive options are either injections or surgery if it is particularly bad. Don't hesitate to discuss with your doctor. ...Read more
I had bilateral epidymitis and have low (not TERRIBLE, just not good) morphology, count and speed of sperm. Can this increase defects or miscarriage?
Is macular degeneration the same as retinal degeneration? My eye reports says Bilateral: Defect is consistent with retinal degeneration. I'm 33.
Not really: Macular degeneration is a type of retinal degeneration found in the senior population that affects only the center of vision. Many other types of retinal degeneration exist from congenital, to acquired, from hereditary to environmental and from severe to minimal. I would be happy to interpret the report if you send me more details. ...Read more
Hsg report filling defect is seen in cervix-possibly of tiny cervical polyp to be extended. No peritoneal spillage in either side, bilateral tubal block?
See your GYN MD: Whoever ordered the HSG should be a GYN MD who can interpret these findings for you. It appears that your Fallopian tubes may be closed. Cervical polyps can become cancerous if present and should be removed. ...Read more
I had an MRI last December, these are the findings....at L5-S1, there is a disk bulge, facet arthropathy, bilateral Ora defects, 5mm of anterolisthesis. I have had pain for the last 18 years, but wiithin the last 2 years it has gotten progressively worse
Radiological Studies: Their clinical significance and the necessary treatment options should be discussed with the physician who ordered the study. They have all the history, physical examination and now the study to make proper treatment decisions and offer opinions. ...Read more