Orthopedic Surgeon in East Harlem

Office Locations

New York City:
5 East 98 Street, 4th Floor
New York, New York 10029

Westchester:
222 Westchester Avenue
Suite 308
West Harrison, New York 10604

Contact Information

For appointments at our New York City office, please call
(212) 241-1073.

For appointments at our Westchester office, please call (914) 885-2501.

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Spondylolysis

A defect or fracture in an area called the pars interarticularis of the spine results in a condition known as spondylolysis. Spondylolysis is often diagnosed in teenagers or young adults due to back pain that increases with activity. The fracture is felt to be a "stress" fracture due to mild but continued strain to this area of the spine. The spondylolysis may lead to slippage of one vertebra on the other (called spondylolisthesis).

Symptoms


Most teenagers present with back pain increased by sports (the condition is common in teens who participate in tennis or gymnastics). The pain is often relieved by rest.

Diagnosis


Because the defect or fracture is in the bone a CT may in some cases be needed to confirm the diagnosis. A bone scan may also be done which shows areas of weakness and stress in the spine.

Treatment


Many teenagers respond to brace treatment plus a three-month rest period followed by the resumption of normal activities. If the symptoms recur, surgery may be necessary. Minimally invasive surgery can be done with the patient returning to full activity in about three months' time.