20 yo male, Div. I college football player with disabling spondylolysis

Case Review: 20 yo male division I college football player (tightend) with disabling LBP toward the end of his sophomore season. He was diagnosed with spondylolysis at L3 and L4 treated with bracing. The L4 lesion healed but he had persistent pain and lysis at L3.

Pre-operative Xrays

APpreopCT 300x258 - 20 yo male, Div. I college football player with disabling spondylolysis  APpeopCT2 300x242 - 20 yo male, Div. I college football player with disabling spondylolysis

 

Treatment: Spondyloysis Repair (MISS)

He underwent a spondylolysis repair (MISS) with impaction bone grafting and pedicle/hook claw instrumentation.

lesion.pic 225x300 - 20 yo male, Div. I college football player with disabling spondylolysis  graft pic 268x300 - 20 yo male, Div. I college football player with disabling spondylolysis

 

Post-operative Xrays

The patient did well postoperatively, returning to full activities including starting tight end his junior year.

APpostopAP 225x300 - 20 yo male, Div. I college football player with disabling spondylolysis  AP.postop lat 225x300 - 20 yo male, Div. I college football player with disabling spondylolysis

 

CT performed 6 months postoperatively demonstrated complete healing of the lytic defect.

APpostopCT 300x295 - 20 yo male, Div. I college football player with disabling spondylolysis

 

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