Abstract
The posterior rings of the lower lumbo-sacral vertebrae are subject to stress fractures at any part — pedicle, pars, or lamina. The site of fracture is apparently determined by the axis of weight bearing. The three illustrative clinical examples cited include a jogger with a laminar fracture, a ballet dancer with pedicle fractures, and a nine-year-old boy with fractures of pars and lamina.
Chronic low back pain is the typical ccomplaint with stress fractures of the lower lumbo-sacral spine. Special imaging techniques are usually needed to demonstrate these lesions, including vertebral arch views, multi-directional tomography, and computed tomography (CT).
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Abel MS (1983) Occult traumatic lesions of the cervical and thoraco-lumbar vertebrae, 2nd edn. Warren Green, St. Louis, p 216, 240
Abel MS (1984) The radiology of low back pain associated with posterior element lesions of the lumbar spine. CRC Crit Rev Diagn Imaging 20:311
Abel MS, Smith GR (1977) Visualization of the posterolateral elements of the lumbar vertebrae in the anteroposterior projection. Radiology 122:824
Cyron BM, Hutton WC (1978) The fatigue strength of the lumbar neural arch in spondylolysis. J Bone Joint Surg [Br] 60:234
Daffner RH (1978) Stress fractures: Current concepts. Skeletal Radiol 2:221
Ferguson RJ (1974) Low back pain in college football lin-men. J Bone Joint Surg [Am] 56:1300
Ichikawa N, Ohara Y (1982) An aetiological study on spondylolysis from a biomechanical aspect. Br J Sports Med 16:135
Jayson MIV (1979) Back pain: Some new approaches. Med J Aust 1:513
Jayson MIV (1983) Compression stresses in the posterior elements and pathologic consequences. Spine 8:338
Newman PH (1963) The aetiology of spondylolisthesis. J Bone Joint Surg [Br] 45:39
Sims-Williams H, Jayson MIV, Baddeley H (1978) Small spinal fractures in back pain patients. Ann Rheum Dis 37:262
Wiltse LL, Widell EH Jr, Jackson DW (1975) Fatigue fracture: The basic lesion in isthmic spondylolisthesis. J Bone Joint Surg [Am] 57:17
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Abel, M.S. Jogger's fracture and other stress fractures of the lumbo-sacral spine. Skeletal Radiol 13, 221–227 (1985). https://doi.org/10.1007/BF00350578
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DOI: https://doi.org/10.1007/BF00350578