Pars defect (Spondylosis)

A pars defect is a break in bones of the spine (vertebrae). Pars defects can occur as a result of trauma or can be a congenital defect in 5% of the population. In traumatic causes one part of the spine acts like an ax and can cause a break in another part of the spine adjacent to it.

⦁ Weightlifting

⦁ Gymnastics

⦁ Football (linemen in particular)

⦁ Motor vehicle accidents

In severe cases, this fracture can allow the spine to move abnormally, resulting in a slipped vertebrae called a spondylolisthesis. This can cause arthritis of the spine or can cause compromise of the spinal cord and nerves, requiring surgery.

Acute or chronic low back pain and stiffness are common symptoms of spondylosis. Symptoms worsen with activity and improve with rest. Extension of the spine and twisting typically worsen symptoms.

The Revive Spine and Pain team can diagnose a pars defect during a comprehensive history, physical examination, and imaging such as Xray, CT Scan or MRI. 

Rest, non-inflammatory medication, bracing, and physical therapy often are prescribed. If the pain persists, we can perform facet injections. If there is instability or significant abnormal movement of the spine (spondylolisthesis), surgery may be indicated.