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Doctor insights on: L5 Pars Defect

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Can the L5 pars defect cause severe pain?

Can the L5 pars defect cause severe pain?

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

Pars Defect (Definition)

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


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Do pars defects get worse over time? Left L5 pars defect. Pain since march 2014. OTC meds taken daily. Surgery options? Conservative options failed.

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

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Can a L4 L5 Pars Defect cause sciatica pain?

Can a L4 L5 Pars Defect cause sciatica pain?

The defect itself: Doesn't cause radicular symptoms (sciatica), but it can result in slippage of one vertebra over another (spondylolisthesis), and extensive degenerative changes, which can. ...Read more

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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?

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

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Doctor said im having loss of the lordotic curvature, impression: L5 pars defect with muscle spasm?

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

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Doctor said im having loss of the lordotic curvature, impression: L5 pars defect with muscle spasm?

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

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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?

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

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What does the term "interval" mean in this context. Report says "appears to be some interval bony consolidation of bilat l5 pars defects"?

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

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Had MRI & report says Suspected chronic although possibly incomplete L5 pars defects with no visualized listhesis evident on exam. S2 (racepinephrine) Tarlov cyst 2cm?

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

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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?

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

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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.

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

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What does bilateral L5 with par defects mean?

What does bilateral L5 with par defects mean?

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

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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.

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.

Tricky question: Pars defects can often be asymptomatic incidental findings differential injections for diagnostic purposes are critical to confirm the pain generator while fusions can be done success for reducing axial back pain is limited careful consideration is required ...Read more

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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.

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.

Spondylolysis: The most common cause of a pars defect is a stress fracture that can occur and then not heal, leading to the defect. They can occur secondary to a specific injury or may be from repetitive stress. Don't hesitate to be seen for it. ...Read more

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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?

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?

See spine surgeon: A pain doctor can determine if the pars defect is the cause of, pain. If so, then surgery is an option, spinal cord stimulation, and various pain meds can help, this situation. ...Read more

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What is the basic meaning when MRI shows Bilateral L5 pars Interarticularis defects without subluxation? This incurred after a multiple car accident.

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

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Diagnosed pars defect @ l5. Persistent pain. Current CNA is this a bad job position. What are my options for treatment.

Pars defect: May or may not be the cause of your pain. See a specialist
before you change jobs. Don't become a neurologist if you have back pain. ...Read more

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Constant muscle spasms 4 month entire body mostly legs and back tingling numbness in feet fatigue painful muscle cramps also pars defect l5- the cause

Spinal stenosis: A pars defect, may be associated with a spondyloslisthesis or slip of the vertebrae and if so may cause muscle spasms, pinched nerves, radiculopathy, and ultimately disability and neuorological injury. Needs appropriate evaluation to define recommended treatment. ...Read more

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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?

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?

Not necessarily: 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

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Could you explain what is pars defect at L5 mean anyway?

Could you explain what is pars defect at L5 mean anyway?

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

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What to do if I have just recently learned I have bilateral pars defect in l5, what does this mean?

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

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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

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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?

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

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Is there any surgery to fix a Grade 1 anterolisthesis of L4 and L5 with a bilateral pars defects on L4?

Is there any surgery to fix a Grade 1 anterolisthesis of L4 and L5 with a bilateral pars defects on L4?

Yes: Yes. There are several options. The gold standard is traditionally a decompression and fusion of one form or another. There are many non surgical options as well. ...Read more

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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?

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

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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.

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.

The step is the: .. spinous process
left behind as the effected vertebra slips forward, in someone with a pars defect. If you don't know if you have 1, C a spine surgeon for imaging. x-rays a-, & a CT may B needed. ...Read more

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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?

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

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Can L4 anterolisthesis & L5 posterolisthesis on s1 with bilateral pars defect at L4 cause venous insufficiency in both legs? If so why?

Can L4 anterolisthesis & L5 posterolisthesis on s1 with bilateral pars defect at L4 cause venous insufficiency in both legs? If so why?

No: 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

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Chronic unilateral left pars defect, osseous edema right anterior L5 body centrum acute/subacute fracture tried everything should I consider surgery?

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

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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?

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

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What is a pars defect?

A cracka small crack: In thecpars articularis part of the posterior elements of a vertebrae mostly in L5 not universally symptomatic may be an incidental finding ...Read more

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Is severe pars defect treatable?

Is severe pars defect treatable?

Yes: Severe pain, deformity, or nerve compromise from pars defects can be treated with surgery. Less severe cases can benefit from physical therapy and/or pain management. ...Read more

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What is a bilateral pars defect at c5?

What is a bilateral pars defect at c5?

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

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What is bilateral pars defect of the spine?

What is bilateral pars defect of the spine?

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