A pars repair surgery fixes the pars fracture without needing to perform a spinal fusion (where surgeons fuse the two vertebrae together to form one bone). Some people need surgery to stabilize the spine. Most of the time, people feel better through nonsurgical treatments. Bracing: Occasionally, healthcare providers recommend a back brace to stabilize the spine as the pars fracture heals.Physical therapy: A physical therapist helps you learn exercises to strengthen your muscles and improve flexibility, so you can move without pain.Steroid injections: Your healthcare provider injects steroid medication directly into the affected area to help relieve pain.Your healthcare provider may prescribe stronger medications as needed. Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin®) can help reduce pain and inflammation.Rest: Take a break from sports and other strenuous activities.You may need to follow the treatment regimen for a few weeks to a few months to feel complete relief. The goals of treatment are to reduce your pain, allow the fracture to heal and help you get back to your daily activities. What nonsurgical treatments are available for spondylolysis? Your care might include activity modification medications and physical therapy. Healthcare providers typically use nonsurgical methods to treat spondylolysis. The typical age of diagnoses is 15 to 16 years (younger in females). Symptoms often appear during teen growth spurts. If you do experience symptoms, low back pain is the most common. It’s possible to have spondylolysis and not even feel any symptoms. Repetitive trauma to the lower back - for example, injuring yourself over and over through sports or other activities - can also weaken the pars interarticularis. You may be born with thin vertebrae, which puts you at higher risk for pars fractures. While we don’t know exactly why the weakness occurs, your genes might play a role. The cracks are often called pars fractures. This thin piece of bone connects the facet joints, which link the vertebrae directly above and below to form a working unit that permits movement of the spine. If you have spondylolysis, you typically have a weakness in a section of the vertebra called the pars interarticularis. Overstretching or overextending the spine, but not inflexion (bending inward) can lead to small cracks in the vertebrae. It’s common in kids and teens, especially those who participate in sports such as gymnastics or football. Spondylolysis affects about 3% to 7% of Americans.
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