Painful spondylolysis or spondylolisthesis studied by radiography and single-photon emission computed tomography. Radiology 1985 Jan;154(1):207-11
Date
01/01/1985Pubmed ID
3155479DOI
10.1148/radiology.154.1.3155479Scopus ID
2-s2.0-0022006979 (requires institutional sign-in at Scopus site) 137 CitationsAbstract
Planar bone scintigraphy (PBS) and single-photon emission computed tomography (SPECT) were compared in 19 adults with radiographic evidence of spondylolysis and/or spondylolisthesis. SPECT was more sensitive than PBS when used to identify symptomatic patients and sites of "painful" defects in the pars interarticularis. In addition, SPECT allowed more accurate localization than PBS. In 6 patients, spondylolysis or spondylolisthesis was unrelated to low back pain, and SPECT images of the posterior neural arch were normal. The authors conclude that when spondylolysis or spondylolisthesis is the cause of low back pain, pars defects are frequently heralded by increased scintigraphic activity which is best detected and localized by SPECT.
Author List
Collier BD, Johnson RP, Carrera GF, Meyer GA, Schwab JP, Flatley TJ, Isitman AT, Hellman RS, Zielonka JS, Knobel JAuthors
Guillermo F. Carrera MD Adjunct Professor in the Radiology department at Medical College of WisconsinJeffrey P. Schwab MD Adjunct Professor in the Orthopaedic Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAdult
Back Pain
Female
Humans
Male
Middle Aged
Spondylolisthesis
Spondylolysis
Tomography, Emission-Computed
Tomography, X-Ray Computed