Pediatric Spine
A 14-year-old elite gymnast presents with 4 months of low back pain that worsens with extension activities and hyperextension maneuvers during training. The single-leg hyperextension test (stork test) reproduces the pain on the right side. Neurological examination is normal. Plain radiographs are initially inconclusive. The treating surgeon considers further imaging and discusses management options including activity modification versus surgical intervention. Regarding pediatric spondylolysis diagnosis and management:
Mark each as TRUE or FALSE
Spondylolysis is a STRESS FRACTURE of the PARS INTERARTICULARIS; L5 is affected in 85-95% of cases; ...
The STORK TEST (single-leg hyperextension) is positive when standing on the ipsilateral leg reproduc...
Spondylolysis affects L1 most commonly; it occurs due to flexion loading; the defect is best seen on...
WILTSE classification: Type I = dysplastic (congenital); Type II = ISTHMIC (pars defect - most commo...
Conservative treatment includes activity restriction (avoid extension sports for 3-6 months), anti-l...
Answer the questions to see explanations
Click T (True) or F (False) for each option