Symptomatic spondylolysis: Correlation of CT and SPECT with clinical outcome
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Cited by (27)
Low back pain in the adolescent athlete
2014, Physical Medicine and Rehabilitation Clinics of North AmericaCitation Excerpt :Numerous studies have shown bone scan and SPECT to be more sensitive than plain radiography in the diagnosis of spondylolysis, and it seems to be superior to MRI and CT in this regard, as well.12,68–75 Multiple studies have also shown that a positive bone scan or SPECT scan correlates with a symptomatic pars lesion.12,69,76–80 This finding makes SPECT a particularly useful and sensitive screening tool in adolescent athletes with low back pain.
Radionuclide Bone Scintigraphy in Sports Injuries
2010, Seminars in Nuclear MedicineCitation Excerpt :A major utility of bone scintigraphy is in deciding whether a pars fracture is of long standing and has no potential for healing (Fig. 14E), or is metabolically active and has capability for healing.64 A study that examined surgical outcomes for spondylolysis based on preoperative SPECT, showed that those with positive studies had a better outcome than those with negative SPECT.65 Rarely, rotational movements may lead to avulsion/traction injuries of the multifidus muscles of the lumbar spine, presenting as increased uptake in the spinous processes and posterolateral vertebral bodies.66
Low Back Pain in the Adolescent Athlete
2008, Physical Medicine and Rehabilitation Clinics of North AmericaCitation Excerpt :Numerous studies have shown bone scan and SPECT to be more sensitive than plain radiography in the diagnosis of spondylolysis, and they appear to be superior to MRI and CT in this regard [47–54]. There are multiple studies that have shown that a positive bone scan or SPECT correlates with a symptomatic pars lesion [48,55–59], making SPECT a particularly useful screening tool in adolescent athletes who have LBP. A significant limitation in the use of radionuclide imaging, however, is specificity.
The diagnosis and management of lumbar spondylolysis
2005, Operative Techniques in Sports MedicineThe role of single photon emission computed tomography in bone imaging
2001, Seminars in Nuclear MedicineSpondylolysis
2000, Physical Medicine and Rehabilitation Clinics of North America