Korean J Sports Med.  2017 Dec;35(3):198-201. 10.5763/kjsm.2017.35.3.198.

Sequential Proximal Adjacent Spondylolysis by Pars Interarticularis Fracture in Elite Soccer Player

  • 1Spine Center, Himchan Hospital, Incheon, Korea. deux8888@kangwon.ac.kr
  • 2Department of Neurosurgery, Kangwon National University College of Medicine, Chuncheon, Korea.
  • 3Joint and Arthritis Research, Department of Orthopedic Surgery, Himchan Hospital, Seoul, Korea.


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.


Athlete; Pars interarticularis; Spondylolysis; Stress fracture
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