Spondylolysis

            Male 17 years old, previously healthy. Basketball player. Referred with the diagnosis of low back pain of 7 months course, opressive, no irradiation to lower limbs, at the beginning the intensity of the pain was 3/10 on EVA scale and mounted to 8/10 during exercise at the moment of evaluation. The pain increased at exercise and decreased at rest. It is intermitent and has no special occurrence time during the day. Total spine X-Ray: Right hemipelvis 8 mm. lower compared to the left, lumbar spine curved to the left. Planar bone scan showed increased uptake in posterolateral bilateral zone in L3 greater to the right side (arrows). The rest of the exam is normal. The finding was consistent with severe bilateral spondylolysis in L3 more intense in the right side. R= Right side.
 

References:
Pushpalatha Sudhakar, Anshu Rajnish Sharma,1 Shanti M Bhushan, G Ranadhir, G Narsimuhulu,2 and V.V.S. Prabhakar Rao. Efficacy of SPECT over planar bone scan in the diagnosis of solitary vertebral lesions in patients with low back pain. Indian J Nucl Med. 2010 Apr–Jun; 25(2): 44–48.

 

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