Spondylolysis & Spondylolisthesis

Metabolic: Juvenile osteoporosis
Inflammatory: Ankylosing Spondylitis
Sero-negative Arthritis
Congenital: L5-S1 facet Hypoplasia
Developmental: Lumbar Scheurmann’s
Trauma: Pars interarticularis

Table 1

Adolescent back pain has been reported to affect more than 50% of school age patients. Parents are often confounded by the severity of the complaints and yet their teenager continues in sports or other extracurricular activities. After months of complaints and minimal relief of symptoms with anti-inflammatory drugs, the family will seek an evaluation.
The adolescent with lumbar back pain may have multiple reasons other than overuse or “growing pains” for the discomfort. (Table 1)