Physical activity is restricted at the start of the treatment and the doctor may recommend a back brace for few months to provide support to the spine. Majority of the cases are treated through non-surgical methods aimed at healing the fracture and managing pain. What treatment modalities are available for management of the disorder? Imaging tests like x-ray, computed tomography (CT) scans, single emission computed tomography (SPECT) scans, magnetic resonance imaging (MRI) scans, or bone scans create images of the vertebrae to show the site of fracture and vertebral alignment. The patient must disclose any information regarding physical training, sports activities or job duties that may contribute to a stress fracture in the lumbar spine. The doctor diagnoses stress fracture of the spine by reviewing a patient’s medical history and conducting a physical examination. What are the screening tests and investigations done to confirm or rule out the disorder? The pain can also increase by standing, may disrupt sleep and is not relieved by sleep. The pain and accompanying symptoms can worsen over time or if the fracture becomes larger. It is felt in form of sciatica or pain that radiates down the legs, accompanied with numbness or a ‘pins and needles’ sensation and weakness. Nerve compression pain may also occur when the body attempts to heal the fracture. Pain, if it occurs, generally spreads across the lower back and is felt as a muscle strain. Many people may have spondylolysis and spondylolisthesis but may not show any direct symptoms. What one needs to know about symptoms or signs? Further, substantial periods of rapid growth can also lead to bone slippage. Genetics– Certain genetic factors like being born with a thin vertebral bone can make an individual susceptible to this condition.This can lead to stress fracture on one or both sides of the vertebra. Overuse – Certain sports like weight lifting, football and gymnastics place a great amount of stress on the bones of the lower back, and also require overstretching of the spine.There are two main causes for stress fractures of the spine: These can result from high impact, back hyperextension or repeated stress to the spine. Stress fractures are tiny hairline breaks that occur in the bone. If the slippage is extensive, it might press on the nerves and might necessitate surgery to correct the condition. Lateral spine x-rays help determine the amount of slippage that has occurred. In most cases, it is the fifth lumbar vertebra that shifts on the sacrum (part of the pelvic bone). Spondylolisthesis – In this condition, the fracture gap at the pars widens and the vertebra shifts forward.It usually affects the fifth lumbar vertebra on the lower back and less commonly the fourth lumbar vertebra. It is normal among many children, but if the pars fractures or cracks, it can lead to a condition known as spondylolysis. Spondylitis– The upper and lower portion of the lumbar spine is joined by pars interarticularis.Spinal stress fracture is categorised into the following types, depending on the effect of the hairline crack on the vertebra: This condition most commonly occurs in the lower back or the lumbar region of the spine, generally due to excessive or repeated strain caused to it. Delhi NCR | Mumbai Region | Kolkata | Hyderabad | Chennai | All IndiaĪ stress fracture in the spine involves a hairline crack in the bone that makes up the framework of the spinal cord.How can the disorder be prevented from happening or recurring?.Is there any risk to other family members of having the disorder?.What are the known complications in management of the disorder?.What treatment modalities are available for management of the disorder?.What are the screening tests and investigations done to confirm or rule out the disorder?.What one needs to know about symptoms or signs?.What is a stress fracture of the spine?.
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