Spondylolysisenparentshttps://kidshealth.org/EN/images/headers/Spondylolysis_enHD_1.jpgSpondylolysis is a very common cause of lower back pain in kids, teens, and young adults. It usually heals quickly with rest and other nonsurgical treatments.spondylolysis, nonsurgical , spondy, back, spine, spinal, fusion, back pain, break, fracture, lumbar, vertebra, vertebrae, lower back pain, pars, pars interarticularis, stork test, stork standing test, scoliosis, kyphosis, back problems, spinal fusion, fused, graft, physical therapy, core strength, pinched nerve, herniated disc, bulging disc, back x-ray, back mri, bone scan, 03/23/201708/23/201709/02/2019Suken A. Shah, MD and Alicia McCarthy, APRN08/12/2017f452ce49-e6a5-4fdd-b753-770323bc5374https://kidshealth.org/ws/RadyChildrens/en/parents/spondylolysis.html/<h3>What Is Spondylolysis?</h3> <p>Spondylolysis (spon-duh-LOL-uh-sis or spon-duh-low-LIE-sis) is a fracture (crack or break) in a vertebra (bone in the spine). It can happen from repetitive stress or injuries to the spine. Some kids are born with spondylolysis.</p> <p>Spondylolysis is a very common cause of lower back pain in kids, teens, and young adults. It usually heals quickly with rest and physical therapy. Surgery usually isn't needed.</p> <h3>How Does Spondylolysis Happen?</h3> <p>The spine (or backbone) has 33 bones called vertebrae (VER-tuh-bray). Nine vertebrae are fused together to form the tailbone, and the other 24 are in the back. The lumbar vertebrae are in the lower back (closest to the tailbone), and are where spondylolysis usually happens.</p> <p>Spondylolysis is a fracture in the part of the vertebra called the pars (or pars interarticularis). Each vertebra has two pars, one on the left side and one on the right. A pars defect or stress fracture can happen on one or both sides of this bone.</p> <h3>What Are the Signs of Spondylolysis?</h3> <p>Lower back pain is the most common symptom of spondylolysis. It usually gets worse during exercise or other physical activity, especially activities where someone leans back a lot. Spondylolysis also can cause buttock and leg pain, and tight hamstrings.</p> <p>Sometimes, kids and teens with spondylolysis won't have any obvious symptoms and don't realize that they have the condition.</p> <h3>Who Gets Spondylolysis?</h3> <p>Young people are more at risk for spondylolysis because their bones are still growing.</p> <p>Kids and teens who play sports and do activities that can strain the lower back or that involve a lot of leaning back &mdash; like football, weightlifting, gymnastics, volleyball, ballet, golf, and wrestling &mdash; are especially likely to develop it.</p> <h3>How Is Spondylolysis Diagnosed?</h3> <p>Health care providers will do a thorough exam. During the exam, they might push on the back or ask a patient to bend backward to hyperextend the spine. If these things cause back pain, it's likely that there's a fracture in the pars.</p> <p>Other things, such as muscle pain, a pinched nerve, or herniated (bulging) disc, also can cause lower back pain. To rule those out &mdash; or to confirm a diagnosis of spondylolysis &mdash; health care providers will order tests such as:</p> <ul> <li>a back X-ray, which can show many fractures</li> <li>a bone scan or a CT (computed tomography) scan, which can detect smaller fractures</li> <li>a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/mri-lumbar.html/">lumbar MRI</a> scan</li> </ul> <h3>How Is Spondylolysis Treated?</h3> <p>Most cases of spondylolysis heal just fine when caught early and treated properly. If your child has spondylolysis, the health care provider probably will recommend:</p> <ul> <li>a break from sports and other strenuous activities</li> <li>plenty of rest</li> <li>core-strengthening exercises that don't strain the lower back</li> <li>flexibility training</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/phys-therapy.html/">physical therapy</a></li> <li>medicine to help ease pain and swelling</li> <li>wearing a back brace or support</li> </ul> <p>Most kids and teens will feel better in 3 months. They should wait until they're pain-free and have their full range of motion before playing contact sports or doing strenuous activities.</p> <h3>What Can Happen?</h3> <p>If it's not allowed to heal properly, spondylolysis can lead to chronic (long-lasting) back pain and loss in flexibility. If this happens, surgery might be needed to fix the problem.</p> <p>Sometimes, kids with spondylolysis develop a painful condition called <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/spondylolisthesis.html/">spondylolisthesis</a></strong> (spon-duh-low-lis-THEE-sis). This happens when the front part of a vertebra slides away from the back part.</p> <h3>Can Spondylolysis Be Prevented?</h3> <p>Spondylolysis is hard to prevent because it can happen all at once or over time. But young athletes can help lower their risk by:</p> <ul> <li>limiting time spent on high-risk sports</li> <li>resting and recovering after physical activities</li> <li>keeping core muscles strong</li> <li>warming up properly before playing any sports</li> <li>stretching regularly</li> <li>using safety equipment correctly</li> <li>following the rules and techniques for their sport or activity</li> <li>maintaining a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/childs-weight.html/">healthy weight</a></li> </ul> <h3>Looking Ahead</h3> <p>The sports and activities that can cause spondylolysis often are very <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sports-competition.html/">competitive</a> and attract motivated, driven kids and teens. So it's important to keep your child's temperament in mind when dealing with spondylolysis and its recovery.</p> <p>Besides their own wishes to return to what they love, kids and teens also might be under pressure to get back into the game from coaches, teammates &mdash; and even parents. But a safe return to play is very important. Kids should get the OK from their health care provider before they return to physically demanding activities and sports.</p> <p>After spondylolysis, kids and teens need to keep up with the proper techniques and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sports-safety.html/">sports safety</a> measures they learned in recovery. They should maintain their core strength and flexibility, and take breaks between sports seasons, games, and competitions.</p> <p>Also, be sure that your kids know to immediately stop an activity that causes back pain. They should see their health care provider and not return to play until the pain goes away.</p>EspondilolisisLa espondilolisis es una fractura (grieta o rotura) en una vértebra (huesecito de la columna vertebral). Puede ocurrir debido al estrés por uso repetitivo o a lesiones en la columna vertebral. Algunos niños nacen con espondilolisis.https://kidshealth.org/ws/RadyChildrens/es/parents/spondylolysis-esp.html/8774d633-094d-4350-abcb-9d33c6efb931
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Dealing With Stress In SportsWinning is all that matters when you play sports, right? Not when that means you can't even enjoy the game. Read about how to handle sports pressure and competition.https://kidshealth.org/ws/RadyChildrens/en/teens/sports-pressure.html/727cd770-30cc-43b1-90cd-fc2e4673eba0
Magnetic Resonance Imaging (MRI): Lumbar SpineA lumbar spine MRI is a painless test that uses a magnetic field and radio waves to produce detailed pictures of the bones, disks, and other structures in the lower back.https://kidshealth.org/ws/RadyChildrens/en/parents/mri-lumbar.html/9590ba4f-a832-441e-a171-dd45bb9e042c
Overuse InjuriesOveruse (or repetitive stress) injuries happen when too much stress is placed on a part of the body, causing problems like swelling, pain, muscle strain, and tissue damage.https://kidshealth.org/ws/RadyChildrens/en/teens/rsi.html/810a10d4-1576-46e7-847b-f6bf8fcd9cdf
Safety Tips: FootballFootball is a lot of fun, but since the name of the game is to hit somebody, injuries are common. To keep things as safe as possible, follow these tips.https://kidshealth.org/ws/RadyChildrens/en/teens/safety-football.html/3ddb9b2e-1926-4cbe-b99e-357b12b9fbb4
Safety Tips: GymnasticsGymnastics is a great sport and a fun way to get a muscular, toned body. But, it also presents a very real risk of injury. To keep things safe during practice and competition, follow these tips.https://kidshealth.org/ws/RadyChildrens/en/teens/safety-gymnastics.html/e1faaf16-f761-4169-8c88-24e8f1ae217a
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ScoliosisScoliosis makes a person’s spine curve from side to side. Large curves can cause health problems like pain or breathing trouble. Health care providers treat scoliosis with back braces or surgery when needed. https://kidshealth.org/ws/RadyChildrens/en/teens/scoliosis.html/eb1d36eb-b517-42a5-9d47-7903103cdddc
Spinal Fusion SurgeryA spinal fusion is a surgical procedure that's done to stabilize or straighten the bones in the back. It can help kids and teens with scoliosis.https://kidshealth.org/ws/RadyChildrens/en/parents/spinal-fusion.html/ccfc7a2f-7027-4aaf-b48a-580be6269bf4
SpondylolisthesisSpondylolisthesis happens when a bone in the back slips forward and out of place. In kids and teens, it’s a common cause of lower back pain.https://kidshealth.org/ws/RadyChildrens/en/parents/spondylolisthesis.html/aa9b8349-239b-4c5a-9591-ea613679675b
Sports and Exercise SafetyPlaying hard doesn't have to mean getting hurt. The best way to ensure a long and injury-free athletic career is to play it safe from the start. Find out how.https://kidshealth.org/ws/RadyChildrens/en/teens/sport-safety.html/cbffad82-3814-4cbc-8758-dd3aac78c363
Stress FracturesIt's not always easy to tell if you have a stress fracture, and stress fractures can get worse quickly. This article explains how to prevent and treat them.https://kidshealth.org/ws/RadyChildrens/en/teens/stress-fractures.html/d630ce2d-b4c9-4c02-8adf-34120bb2aaae
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-generalPediatricskh:genre-articlekh:primaryClinicalDesignation-orthopedicsNonSportsMedBones & Muscleshttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/bones/309954d5-03dd-446c-9d39-3e66eeb99f97