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?
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 more
Pinched nerves in neck from bulges at C5-C6 and C6-C7 via neck MRI, shoulder pain. Related? 6 MM slip at L5-S1 with pars defect and leg pain. Related? Thanks.
..Spine Specialist: 47 y/o Male w Pinched nerves in neck from bulges at C5-C6 and C6-C7 via neck MRI, shoulder pain. Related 6MM slipp at L5-S1 with pars defect and leg pain. Related? Thanks. Yes related called Degenerative Joint/ Disc disease. The Doctor who ordered the studies know what he/she is looking for Have him/her provide treatment guidance or see Spine Specialist. Thereafter mind Diet/ Exercise/ Lifestyle ...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
Pars defect l5. 20 y female. Conservative measures and injections don't help much. Is surgery an option! If so what kind will help with this.
Cause of pars defect @ l5? 20 y female. Job as cna been battling pain since march. Usually a 4/10 pain level. Can still function but it kills.
20 yo f. Pars defect @ L5 and facet arthritis in l2-l5. Chronic since March. PT, and injections help very little. Bracing doesn't help either. Options?
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
Diagnosed pars defect @ l5. Persistent pain. Current CNA is this a bad job position. What are my options for treatment.
I had a NM bone spect today, what does this mean? Findings compatible with L5 pars interarticularis left defect or stress injury with uptake.
Not much: In the future you might have a slippage of L5 on S1. Your doctor can tell you more. ...Read more
I have a "chronic right L5 pars inter-articular defect" according to a CT scan (for unrelated injury). "chronic" sounds scary. Should I be worried?
A pars defect is a fracture (old or new) through a portion of a vertebrae that is a part of the posterior joints of the vertebrae, usually lumbar.
Some of us may have one and never know it. Others, such as with a bilateral defect can have minimal or significant spine instability at that level which can cause progressive degenerative change and spinal stenosis. If you have back pain, tell your dr. ...Read more
Termed spondylolysis: A condition called a pars fracture or spondylolysis this is typically a congenital defect that will manifest itself in childhood but may not become symptomatic at all or at some point later in life ; can be a real fracture. These typically can be managed non op 90% of the time. The most common vertebra to find it is at l5. Found in 6-8% of the us population. They can cause back ;/or leg symptoms. ...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
Would plain pars defect at l5 cause the person increasing pain as time goes on? 20 y f. Pain x1 year. Scans laat year. Is something more wrong?
Yes: Pars defect or spondylolysis can increaseing cause pain if defect worsens and there is more motion at defect site. Sometimes bracing and reduction of activity is necessary to reduce pain followed by physical therapy ito strengthen spinal musculature. If bilateral defects occur vertebra can slip forward (spondylolisthesis) and put pressure on nerve roots and produce pain. ...Read more
Is there any surgery to fix a Grade 1 anterolisthesis of L4 and L5 with a bilateral pars defects on L4?
I'm 20 years old I was just diagnosed with a pars defect of the s1 and L5 I had surgery to get it fixed but now the pain is way worse why is that?
Sometimes the: Surgery does not heal in terms of the defect healing if a direct repair or if it did heal, possibly you needed a fusion of that level. Even with a successful surgery, there can be about a 10% failure rate in a nonsmoker and a significantly higher failure rate in a smoker. You need to see your surgeon but it takes months for a surgery like this to heal. Surgeon case assess your fusion status. ...Read more
I had a fall in August 2014 - I lift 50 lbs- cart weighs about 200 lbs. Pars defect in L2 and l5-s1-off work pain decreased-ret to work pain increase?
I am very sorry: Maybe it is me and lack of understanding abbreviation but I did not understand anything from your statement except you fell in August. ...Read more
What is a palpable step off in regards to a pars defect and spinal instability? How to tell if I have one? Pars defect at L5 with bump on spine.
There's grade 2 anterolisthesis of L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defects l5. Needsurg?
Not necessarily: Those findings are relatively common, especially in persons who have practiced sports in their younger age. Surgery is only recommended on the basis of disabling symptoms, and after conservative treatment and alternative measures such as epidural injections have failed. ...Read more
20 y female. Pars defect at l5. Pain since march but now my leg feels weak, heavy and numb. Is it getting worse? Do I need to worry?
Yes: If your leg is becoming heavy, weak and numb you need to be checked right away. ...Read more
Why does my lower back and hips hurt. I have a pars defect in my L5 vertebrea and recently my hips have been hurting when I sleep. I'm a 28yo/f.?
Back pain: With this history, it is best to consult an orthopedic surgeon for complete evaluation & workup. ...Read more
20 yr old f. pars defect at l5 and arthritis of lower back. Been seeing a physiatrist x1yr. No significant improvement. Tried injections, bracing, PT, etc. Is it time to see a surgeon? Or wait it out
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
Chronic unilateral left pars defect, osseous edema right anterior L5 body centrum acute/subacute fracture tried everything should I consider surgery?
Let me explain:
The traditional treatment for what mention usually nonsurgical.
If the pain is disabling you and can not by nonsurgical means, I believe you consult a spine surgeon or neurosurgeon. ...Read more
Grade 2 anterolisthesis L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defect at l5. Right leg goes numb after standing still for 5 min or more. Surgery?
Spinal pain: It certainly time to consider advanced treatments, diagnosis, and possibly surgery. You have a bad spine with multiple pathologies. It's important to figure out if you have active ongoing nerve damage. An EMG will give you the information that you need. If you don't have active nerve damage try everything else (injections, decompression, chiro, pt) before surgery as many can avoid surgery. ...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
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
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