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What is spondylolysis and how can it be identified on a radiograph?

Spondylolysis is a break or defect of the pars interarticularis, often occurring at the L5 vertebra. It can be identified on a radiograph by the appearance of a 'Scottie dog' figure, best seen in an oblique view, where the transverse process forms the nose and the pars interarticularis appears as a collar around the neck of the dog.

Spondylolysis is typically a chronic condition that may develop post-trauma, be congenital, or arise from falls during childhood. On radiographs, particularly in oblique views, the defect can be visualized as a 'Scottie dog' figure, with specific anatomical parts of the vertebrae resembling the dog. The transverse process, superior articular processes, and the pars interarticularis contribute to this visual representation, making it easier to identify the defect.

Key points

  • Spondylolysis is a defect of the pars interarticularis.
  • It commonly occurs at the L5 vertebra.
  • Identification on radiographs is through the 'Scottie dog' figure.
  • The condition can be chronic, congenital, or post-traumatic.
Source:Medical Imaging for the Health Care Provider: Practical Radiograph Interpretation· Basic Interpretation of Lumbar Spine Radiographs· p. 256–272

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Cover of Medical Imaging for the Health Care Provider: Practical Radiograph Interpretation

Medical Imaging for the Health Care Provider: Practical Radiograph Interpretation

Campo, Theresa M., DNP, FNP-C, ENP-BC, FAANP

Springer Publishing Company, LLC

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