Pars interarticularis defect

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

History of automatic lower back pain, no history of trauma, no pain radiation no numbness.

Patient Data

Age: 50 years
Gender: Male
x-ray
  • the lumbar spine is inclining to the left side on the AP view
  • straight lumbar spine on the lateral view
  • severely decreased disc space with moderate anterior spondylolisthesis L5-S1 (Meyerding grade II)  and pars interarticularis defect is seen
  • mild degenerative changes with anterior osteophytes L1 to L3

Case Discussion

An example of a pars interarticularis defect or spondylolysis with associated spondylolisthesis.

Meyerding Classification System of spondylolisthesis.

  • grade I: 0-25%
  • grade II: 26-50% 
  • grade III: 51-75% 
  • grade IV: 76-100%  
  • grade V (spondyloptosis): >100%

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