© Copyright Policy – open-access | License | Kundi M et al. A stress fracture can occur in one or both of the pars in a vertebral body. The weak link in this stabilizing system-the pars interarticularis-is a thin arch of bone within each vertebral body. The vertebral bodies and their surrounding muscles and ligaments lend stability to the spine and enable bending and twisting. Each of the vertebrae has two wing-shaped vertebral bodies, one on the left and one on the right. The spine is a column of bones called vertebrae stacked on top of one another. To understand the problem, it helps to know a few things about the spine. Sometimes, an exact cause may be difficult to pinpoint. These athletes may hurt more during a hard landing after a jump, or when they bend their spine backwards while bearing weight. Spondylolysis is a common source of back pain in kids, and in some sports it can afflict 20 to 30 out of every 100 athletes.In young athletes, spondylolysis may account for up to half of all back pain. It requires extended rest, typically two or three months.īut first-to avoid resting an athlete who doesn’t need it-it’s critical to know more about the problem and the chance it will improve with treatment. The not-so-good news: The cure is not always popular. The good news: If doctors find this stress fracture in its early stages, it has an excellent chance of healing without surgery, and the athlete can often return to sports free of significant pain and limitations. If a young, motivated athlete stops sports because of back pain, spondylolysis should be suspected until proven otherwise.” “These young athletes always want to compete, and it is highly unusual for them to stop running in the middle of a game or competition because their back hurts so much. “Spondylolysis often develops in the most motivated, active and best athletes,” says Stan Herring, M.D., cofounder of The Sports Institute at UW Medicine and team physician for the Seattle Seahawks and Seattle Mariners. A fracture of the pars is more common in sports that involve backward bending and repeated pressures on the back, such as gymnastics, football and basketball. In still-growing children and adolescents, the “pars” is not yet fully developed and vulnerable to repeated stresses. Spondylolysis (pronounced “spon-dee-low-LYE-sis”) is a stress fracture of a narrow section of bone in the spine called the pars interarticularis. When that happens in active kids who are still growing, doctors often look for a problem called spondylolysis. But in some cases symptoms don’t improve, and the pain hangs on for weeks. Fortunately, most back pain goes away on its own. When Back Pain Stops a Young Athlete, Think Spondylolysisīack pain in active children and adolescents is common.
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