Lower extremity stress fractures are relatively common among competitive athletes. Stress fractures of the upper extremity, however, are rare and most have been reported in the literature as case reports. We present a case of an adolescent baseball pitcher who had both proximal humeral and ulnar shaft stress fractures, as well as spondylolysis of the lumbar spine. This particular patient also h...

We injected methylene blue dye into 32 of the facet joints immediately above the defects in 17 consecutive patients with bilateral spondylolysis (34 defects). In 30 of these the dye flowed into a central cavity in the defect of the pars interarticularis and in 20 it passed into the facet joint below the defect. We found macroscopic cavities in 32 of the defects which communicated with the adjac...

Spondylolisthesis is a common condition that can be managed both nonsurgically and surgically. More than 80% of children treated nonsurgically have resolution of symptoms. For those patients requiring surgical treatment, fusion in situ may provide adequate treatment for young patients. Patients with neural compression may require decompression to relieve symptoms, and fusion is also usually ind...

Background: A 42-year-old man, with no significant medical history, was admitted at the emergency department following a road traffic accident. While cycling, the patient had been hit by a car, after which he briefly lost consciousness. Upon admission, he complained of severe headache and pain in his left shoulder and thorax. Physical examination revealed stable vital parameters and a Glasgow C...

CONTEXT Both spondylolysis and spondylolisthesis can be diagnosed across the life span of sports-participating individuals. Determining which treatments are effective for these conditions is imperative to the rehabilitation professional. DATA SOURCES A computer-assisted literature search was completed in MEDLINE, CINAHL, and EMBASE databases (1966-April 2012) utilizing keywords related to non...

Operative treatment of symptomatic spondylolysis is not common. Multiple surgical techniques have been described for direct repairs of the pars defects. Reported success rates are high, although few reports describe successful return to sports in athletes. The purpose of the study was to assess the outcome after bone grafting and fixation of pars interarticularis defects utilizing a modificatio...

A comprehensive study of spinal health in ancient Nubia has not been achieved to date. This is a component larger survey health. It presents comparative analysis spondylolysis, with the aim providing an insight into quality life, environmental and socio-political stresses faced by individuals Nubia. provides bioarchaeological data from 515 adult preserved lumbar vertebrae (where spondylolysis m...

 Abstract  Background: Spondylolysis and spondylolisthesis can be associated with significant  low back pain, especially in physically active adolescents. Non-operative management  is usually successful in improving symptoms, but surgical intervention is  occasionally required. The aim of this study was to determine the effect of in situ posterolateral  fusion in the treatment of refractory cas...

We report a pediatric baseball player having both a fracture of the posterior ring apophysis and spondylolysis. He was presented to a primary care physician complaining of back pain and leg pain. Despite conservative treatment for 3 months, the pain did not subside. He was referred to our clinic, and surgical intervention was carried out. First, a bony fragment of the caudal L5 apophyseal ring ...

Objective. To propose and validate a dimensional parameter, the sagittal pelvic thickness (SPT) (distance between the middle point of the upper sacral plate and the femoral heads axis, expressed as a ratio with the length of the upper plate of S1: (SPT/S1) for the analysis of the sagittal balance of the pelvispinal unit. Methods. The parameters were analysed on standing radiographic imaging and...