What does pars defect mean

Very rarely it occurs in two places simultaneously. Symptoms of a pars defect are pain and stiffness in the center of the low back. Lumbar extension and twisting typically increases pain. Symptoms get worse with activity and go away with rest. Some may experience pain radiating down one or both legs. This pain comes from pressure and irritation on the nerves that exit the spinal canal near the fracture.

Patients can even experience numbness, tingling, and weakness in their legs. Most patients with pars defect do not require surgery and can experience relief with medications and rest. Anti-inflammatory medications and muscle relaxers are commonly used to treat pain. Often, a lumbar corset back brace is prescribed for the acute phase of the injury.

Physical therapy is also initiated once diagnosed. Once PT begins, the therapist will introduce a series of strengthening exercise for the abdominal and low back muscles. Working these core muscles helps patients begin moving easier and lessens the chances of future pain and problems. Sometimes the upper vertebra slips forward relative to the lower one — this is referred to as spondylolisthesis. Neurological deficits are relatively rare with the most common symptoms being back pain and leg pain which limits the activity level of the patients.

The break in the bone occurs due to undue pressure on the pars interarticularis which can be linked to activities which cause repeated stress and strain. These may include but not limited to :. Treatments for pars defects:. If the pars defect is present without spondylolisthesis and neurological symptoms then rest, immobilisation of the area and time can heal the defect.

Rest and proper healing are vital prior to returning to sport and other activities. Physical therapies can help with speeding up the recovery and can include back strengthening exercises and gradual return to sport.

If there is a spondylolisthesis, neurological symptoms and pain with the pars defect the treatment plan can be a little different. Whilst pain medications and physical therapies as well as exercises to gradually return to sport can help some may not heal or could have resulting neurological problems.

In all of my patients, although especially in children, surgery is a last resort, and is reserved for patients who remain symptomatic despite at least 6 months of brace treatment. If you believe you or a family member is suffering from a pars defect, you should discuss this with your family physician or orthopedic surgeon.

All of the physicians at the Orthopedic Center of Illinois are trained in evaluating for pars defects. We will be happy to help you get the right diagnosis and treatment, and back in the game! Yes No.

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