Spondylolysis - Stress Fracture of the Spine

A stress fracture in a vertebra is called spondylolysis.  It may result from stress on the lower back during sports, such as gymnastics, weight lifting, and football.  Some individuals are born with thin vertebral bones that are susceptible to this condition.

Spondylolysis may not cause symptoms.  It can cause lower back pain.  The pain may feel like a muscle strain that spreads across your lower back.

Your doctor can diagnose spondylolysis by reviewing your medical history and examining your back.  You should tell your doctor about sports that you participate in or job duties that may affect your back.  X-rays will be used to check for stress fractures and view your vertebral alignment.  CT scans or MRI scans often best indicate the fracture.

Surgery may be necessary if your symptoms do not improve or if your condition worsens.  Spondylolysis can lead to spondylolisthesis, a condition where the vertebrae slip out of place.  Spinal fusion surgery is used to permanently connect two or more vertebrae to stop movement and relieve pain.  A bone graft or surgical hardware, such as screws and rods, are used to secure the vertebrae together.  Spinal fusion surgery requires a short inpatient hospital stay followed by physical therapy.

Discontinuing the activities that may have caused the spondylolysis may relieve the pain associated with it.  Anti-inflammatory medications and pain medications and a back brace may help reduce pain.  Physical therapy may be recommended to strengthen and stretch your back and abdominal muscles.  You may be able to resume your activities gradually after your symptoms have subsided.
 
Physical and occupational therapy usually follows spinal fusion surgery.  Initially, your physical therapist will help you with bed mobility and sitting balance.  Your physical therapist will also focus on exercises to promote walking.  You may need to wear a back support or use an assistive device, such as a walker, until you are stronger.  Your physical therapy exercises will progress to strengthening your back and abdominal muscles. 
 
Your occupational therapist will teach you ways to perform simple daily tasks, such as dressing, bathing, and toileting, within the movement parameters that you have.  Your therapists can recommend and issue durable medical equipment, including shower chairs or dressing devices, to allow you to perform self-care tasks as independently as possible.

Recovery from spinal fusion surgery can take several months.  The length of your recovery depends on the extent of your condition and the type of surgery that you had.  Your doctor will let you know what to expect.