Kawarata Kei, Watanabe Kazuyuki, Yamagishi Eiki, Kaneuchi Yoichi, Nikaido Takuya, Konno Shinichi, Matsumoto Yoshihiro
Japan Football Association Medical Center Orthopedic Clinic, Futaba-gun, Fukushima Prefecture, 979-0513, Japan.
Department of Orthopedic Surgery, Fukushima Medical University School of Medicine, Fukushima City, Fukushima Prefecture, 960-1295, Japan.
Open Access J Sports Med. 2025 May 14;16:51-54. doi: 10.2147/OAJSM.S511852. eCollection 2025.
Multiple computed tomography (CT) scans are required to diagnose lumbar spondylolysis stage and confirm fusion degree. However, multiple CT scans should be avoided because of radiation exposure. There are no case reports of complete diagnosis and treatment of pediatric lumbar spondylolysis without the use of CT. Fast field echo resembling a CT using restricted echo-spacing (FRACTURE) is a magnetic resonance imaging (MRI) sequence used to evaluate bone lesions. Here we report the case of a pediatric patient with lumbar spondylolysis who was able to return to sports after diagnosis, treatment, and bone union confirmation using MRI and FRACTURE.
需要多次计算机断层扫描(CT)来诊断腰椎峡部裂阶段并确认融合程度。然而,由于辐射暴露,应避免多次进行CT扫描。目前尚无关于不使用CT对小儿腰椎峡部裂进行完整诊断和治疗的病例报告。快速场回波类似于使用受限回波间距的CT(FRACTURE),是一种用于评估骨病变的磁共振成像(MRI)序列。在此,我们报告一例小儿腰椎峡部裂患者的病例,该患者在使用MRI和FRACTURE进行诊断、治疗及骨愈合确认后能够恢复运动。