Bilateral L2 spondylolysis

Case contributed by Dr Nick Tarasov

Presentation

Low back pain.

Patient Data

Age: 35 years
Gender: Male
MRI

There is a bilateral defect of the pars interarticularis of the vertebral arch at the L2 level.

Increased size of the vertebral canal in sagittal direction at the L2 level, specific finding in spondylolysis.

Discoosteophytic complexes at the L2-S1 levels more prominent at the L3-L4 level, moderate intervertebral foramen stenosis at the L2-L3 level.

Intact spinal cord and meninges.

Annotated image
  • bilateral defect of the pars interarticularis of the vertebral arch at L2 level
  • increased size of the vertebral canal in sagittal direction at L2 level

Case Discussion

Bilateral spondylolysis is usually seen at the L4-S1 levels. There is a rare localization on the L2 level with a slight anterolisthesis and associated degenerative change, probably accounting for the patient's low back pain.

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Case information

rID: 56596
Case created: 11th Nov 2017
Last edited: 14th Nov 2017
Inclusion in quiz mode: Included
Institution: USMU

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