Doctor insights on:
L5 Pars Defect
Pars defect: Pars defects are disruption of the bony connection between the front and back of the spine. These defects can be asymptomatic or cause back and leg pain depending on the severity or lack of associated nerve compression. Treatment for symptomatic lesions includes core strengthening, pain management with possible pars injection, or surgery. ...Read more
Spondylolysis is a defect of a vertebra. More specifically it is defined as a defect in the pars interarticularis of the vertebral arch. The great majority of cases occur in the lowest of the lumbar vertebrae (l5), but spondylolysis may also occur in the other lumbar vertebrae, as well as in the thoracic vertebrae. Spondylolysis occurs in three to six ...Read more
Do pars defects get worse over time? Left L5 pars defect. Pain since march 2014. OTC meds taken daily. Surgery options? Conservative options failed.
No: The defects themselves don't get any " worse" they represent stress fractures that occurred in the pars interarticularis that never healed. They sometimes can lead to a spondylolisthesis in which the vertebrae can start to shift over each other. Thankfully, a lot of people do respond to nonoperative care. Surgical option are either direct repair of the defect or a fusion. ...Read more
L5 pars defect. Now feeling an exaggerated bump on spine at same level. Pain x1 yr. Radiates down leg. Is it starting to slip? Should i tell my doc?
YES, if bilateral-: -the bump U feel could B indication of further slip. so yes get into C Ur spine surgeon and B re-evaluated. ...Read more
Doctor said im having loss of the lordotic curvature, impression: L5 pars defect with muscle spasm?
L5 Pars defect: A pars defect causes relative instability and the body 'braces' itself with muscle tightness and that can lead to a forward posture and relative loss of lordosis... The L5 is the problem, the lordosis can correct over time if the problem gets treated.... Typically with a fusion if all else fails (this is typically a very successful operation!) good luck! ...Read more
Doctor said im having loss of the lordotic curvature, impression: L5 pars defect with muscle spasm ?
Spondylolisthesis : So what... Those are radiologic findings. Only thing that matters is if you are symptomatic. Start with core strength regimen, nsaids, weight loss if needed. I have countless patients living with pars defects and slips that aren't surgical. I also have some that are. ...Read more
L5-S1 fail segmentation&SBO, T11-L1 fused, post. hemivertebra & superior endplate infraction, facet OA & DDD T10-11, L1-2, L2-3. L5 pars defect, HELP?
Back,pain treatment: Major back problems needing surgery sometimes leave pain, even when the surgery went well. You need a pain management doc to evaluate if this is a compression vs nerve related problem.,treatments can include medication, bracing, injections, heating nerves to stop their pain, and over riding nerve pain with direct electrical stimulation -- spinal stimulation therapy. ...Read more
What does the term "interval" mean in this context. Report says "appears to be some interval bony consolidation of bilat l5 pars defects"?
"Interval": The use of the term "interval" in that context usually implies that it's a finding that was not present on a preceding Xray of the area. It wasn't there before and now it is. ...Read more
Had MRI & report says Suspected chronic although possibly incomplete L5 pars defects with no visualized listhesis evident on exam. S2 (racepinephrine) Tarlov cyst 2cm?
Tarlov cyst: "Pars defects" are fractures of the back wall of the spinal canal. Although this sounds scary, it is usually caused by chronic stress upon the lower back and not an acute accident. Over time, these can move (listhesis) and cause nagging back pain. Tarlov cysts (pictured) do not usually cause symptoms UNLESS they are >2 cm. Therefore, your cyst could potentially cause S2 (racepinephrine) symptoms. ...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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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