The Value of Bone Scan and Pars Injection in Nonadjacent Pars Fractures

18-year-old male presented to the clinic with worsening lower back pain. He was playing high school baseball. Plain radiograph of the lumbar spine showed L5 pars defect. Single-photon emission computed tomography (SPECT) scan showed increased uptake at L2 pars bilaterally, L5 pars did not show increased uptake (Figure 1). Computed tomography (CT) scan confirmed bilateral L2 pars fractures as well as a left L5 pars fracture (Figure 2). The patient had conservative management for six months in the form of lumbosacral orthosis (LSO), cessation of the sport activities, and physical therapy.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Images of Spine Care Source Type: research