The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Pars Interarticularis Injections in a Patient with Spondylolysis -A case report-

척추용해증 환자에서 Pars Interarticularis Injections의 치료 경험 -증례 보고-

  • Park, Sang Cheol (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Park, Joon Byum (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Kwon, Young Eun (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Lee, Jun Hak (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
  • 박상철 (전주예수병원 마취통증의학과) ;
  • 박준범 (전주예수병원 마취통증의학과) ;
  • 권영은 (전주예수병원 마취통증의학과) ;
  • 이준학 (전주예수병원 마취통증의학과)
  • Received : 2005.09.16
  • Accepted : 2005.12.06
  • Published : 2005.12.10
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Abstract

Spondylolysis, also known as stress injury of pars interarticularis, is a common cause of back pain in athletes, particularly children and young adults. Repeated minor traumas during flexion and extension of the spine are thought to result in bony failure due to excessive bone resorption. These lesions are common in the low back, with the majority found at the L5 vertebra. In the majority of cases of spondylolysis, non-operative treatments are recommended, such as NSAIDs, physiotherapy and bracing. Only if symptoms do not respond to conservative treatments should surgical intervention be considered. Recently, pars interarticularis injections for diagnostic and therapeutic purposes have been found to allow significant pain relief from spondylolysis for long periods. Here, the case of a 57-year-old man with spondylolysis, who suffered from back pain, which was not relieved by an epidural steroid injection, but in whom pars interarticularis injections of local anesthetic and steroid induced complete transient pain relief, following by moderate long-term relief, is presented.

Keywords

References

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