1 doctor weighed in:

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

1 doctor weighed in
Dr. Edward Hellman
Orthopedic Surgery

In brief: 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.

In brief: 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.
Dr. Edward Hellman
Dr. Edward Hellman
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