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dc.contributor.authorZukotynski, Katherine
dc.contributor.authorCurtis, Christine
dc.contributor.authorGrant, Frederick Daniel
dc.contributor.authorMicheli, Lyle Joseph
dc.contributor.authorTreves, S. Ted
dc.date.accessioned2013-01-15T16:12:58Z
dc.date.issued2010
dc.identifier.citationZukotynski, Katherine, Christine Curtis, Frederick Daniel Grant, Lyle Joseph Micheli, and S. Ted Treves. 2010. The value of SPECT in the detection of stress injury to the pars interarticularis in patients with low back pain. Journal of Orthopaedic Surgery and Research 5:13.en_US
dc.identifier.issn1749-799Xen_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:10178131
dc.description.abstractThe medical cost associated with back pain in the United States is considerable and growing. Although the differential diagnosis of back pain is broad, epidemiological studies suggest a correlation between adult and adolescent complaints. Injury of the pars interarticularis is one of the most common identifiable causes of ongoing low back pain in adolescent athletes. It constitutes a spectrum of disease ranging from bone stress to spondylolysis and spondylolisthesis. Bone stress may be the earliest sign of disease. Repetitive bone stress causes bone remodeling and may result in spondylolysis, a non-displaced fracture of the pars interarticularis. A fracture of the pars interarticularis may ultimately become unstable leading to spondylolisthesis. Results in the literature support the use of bone scintigraphy to diagnose bone stress in patients with suspected spondylolysis. Single photon emission computed tomography (SPECT) provides more contrast than planar bone scintigraphy, increases the sensitivity and improves anatomic localization of skeletal lesions without exposing the patient to additional radiation. It also provides an opportunity for better correlation with other imaging modalities, when necessary. As such, the addition of SPECT to standard planar bone scintigraphy can result in a more accurate diagnosis and a better chance for efficient patient care. It is our expectation that by improving our ability to correctly diagnose bone stress in patients with suspected injury of the posterior elements, the long-term cost of managing this condition will be lowered.en_US
dc.language.isoen_USen_US
dc.publisherBioMed Centralen_US
dc.relation.isversionofdoi:10.1186/1749-799X-5-13en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841113/pdf/en_US
dash.licenseLAA
dc.titleThe Value of SPECT in the Detection of Stress Injury to the Pars Interarticularis in Patients with Low Back Painen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalJournal of Orthopaedic Surgery and Researchen_US
dash.depositing.authorZukotynski, Katherine
dc.date.available2013-01-15T16:12:58Z
dash.affiliation.otherHMS^Radiology-Brigham and Women's Hospitalen_US
dash.affiliation.otherHMS^Radiology-Children's Hospitalen_US
dc.identifier.doi10.1186/1749-799X-5-13*
dash.contributor.affiliatedGrant, Frederick
dash.contributor.affiliatedTreves, S.
dash.contributor.affiliatedZukotynski, Katherine
dash.contributor.affiliatedMicheli, Lyle


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