NDLI: Prevalence of stress reaction in the pars interarticularis in pediatric patients with new-onset lower back pain.

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Prevalence of stress reaction in the pars interarticularis in pediatric patients with new-onset lower back pain.

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Prevalence of stress reaction in the pars interarticularis in pediatric patients with new-onset lower back pain.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Yang, Jigang Servaes, Sabah Edwards, Kevin Zhuang, Hongming
Description	Country affiliation: China Author Affiliation: Yang J ( Department of Nuclear Medicine, Beijing Friendship Hospital of Capital Medical University, Beijing, China.)
Abstract	BACKGROUND: Spondylolysis is a defect of the pars interarticularis and is most commonly encountered in the lower lumbar spine of pediatric patients. Stress reaction of the pars interarticularis was regarded as an early stage of this pathological diagnosis in which no obvious anatomical change is detected. Both SPECT with (99m)Tc MDP and CT of the lumbar spine have been used to evaluate the patients with low back pain. The purpose of this study was to determine the prevalence of stress reaction in pars interarticularis in pediatric patients presenting new-onset back pain using both bone SPECT and CT. PATIENTS AND METHODS: The records and images of 63 consecutive pediatric patients (mean age, 13.2 years) with new onset of back pain, who received both (99m)Tc MDP bone scintigraphy with SPECT of the lumbar spine and lumbar thin-slice CT were retrospectively analyzed. The results of bone SPECT and CT were retrospectively compared. RESULTS: Among the cohort of 63 patients who had both bone SPECT and thin-slice CT of the lumbar spine, there was a total of 56 positive SPECT results indicating stress injuries in the pars interarticularis. Spondylolysis was shown on both bone SPECT and thin-slice CT in 45 patients. In 11 patients, stress reaction was shown. In 7 patients, no abnormality was detected by either SPECT or thin-slice CT. CONCLUSIONS: Our result showed that a significant portion (19.6%, 11 of 56) of the stress injuries in the pars interarticularis will be CT-negative stress reaction in pediatric patients with new-onset back pain.
File Format	HTM / HTML
ISSN	03639762
Issue Number	2
Volume Number	38
e-ISSN	15360229
Journal	Clinical Nuclear Medicine
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2013-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Medical Imaging Discipline Nuclear Medicine Discipline Radiology Low Back Pain Complications Physiopathology Lumbar Vertebrae Stress, Mechanical Adolescent Child Female Humans Male Prevalence Retrospective Studies Spondylolysis Tomography, Emission-computed, Single-photon Tomography, X-ray Computed Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Radiology, Nuclear Medicine and Imaging

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