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Sequential Proximal Adjacent Spondylolysis by Pars Interarticularis Fracture in Elite Soccer Player
Korean J Sports Med 2017;35:198-201
Published online December 1, 2017;  https://doi.org/10.5763/kjsm.2017.35.3.198
© 2017 The Korean Society of Sports Medicine.

Seung-Kook Kim1,2, Seung-Woo Park2, Su-Chan Lee1,3, Moon-Bok Song3

1Spine Center, Himchan Hospital, Incheon, 2Department of Neurosurgery, Kangwon National University College of Medicine, Chuncheon, 3Joint and Arthritis Research, Department of Orthopedic Surgery, Himchan Hospital, Seoul, Korea
Correspondence to: Seung-Kook Kim
Spine Center, Himchan Hospital, 118 Yongdam-ro, Younsoo-gu, Incheon 21927, Korea
Tel: +82-32-820-1119, Fax: +82-32-820-9224
E-mail: deux8888@kangwon.ac.kr
Received April 20, 2017; Revised November 14, 2017; Accepted November 15, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Pars interarticularis fracture is a common finding in young soccer players with low back pain. Spondylolysis in young adults involves a defect of the pars interarticularis, occurring as a result of repeated hyperextension and rotation. Here, we describe the case of a 26-year-old male elite soccer player who was diagnosed with L3 spondylolysis 2 years previously. He visited Incheon Himchan Hospital again because of low back pain. Radiographs showed consecutive spondylolysis at the L3 and L4 levels. Physicians should be aware that repeated performance of athletic movements, such as those during soccer, might lead to consecutive levels of spondylolysis.
Keywords : Athlete, Pars interarticularis, Spondylolysis, Stress fracture
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