Prevalence of vertebral pars defects (spondylolysis) in a population with osteogenesis imperfecta

Spine (Phila Pa 1976). 2009 Jun 1;34(13):1399-401. doi: 10.1097/BRS.0b013e3181a39646.

Abstract

Study design: We performed a retrospective study of spinal roentgenograms of a large cohort of patients suffering from osteogenesis imperfecta.

Objective: To determine the prevalence of vertebral pars defects (spondylolysis) in patients with osteogenesis imperfecta.

Summary of background data: Patients suffering from osteogenesis imperfecta are known to be prone to pathologic fractures. Pathologic fractures due to microtraumas, repetitive activities, and posture acting together on a congenitally weakened pars interarticularis may lead to vertebral pars defects. The prevalence of vertebral pars defects in patients with osteogenesis imperfecta has never been studied before to our knowledge.

Methods: We performed a retrospective study of posterior-anterior and lateral, standing, roentgenograms of the spine of patients with osteogenesis imperfecta for the occurrence of vertebral pars interarticularis defects.

Results: The patients (5.3%) in our series showed vertebral pars defects, this is not significantly different from the prevalence of vertebral pars defects in the general population.

Conclusion: 5.3% of the patients with osteogenesis imperfecta showed vertebral pars defects, this does not differ significantly from the occurrence in the general population.

MeSH terms

  • Child
  • Child, Preschool
  • Female
  • Humans
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / pathology
  • Male
  • Netherlands / epidemiology
  • Osteogenesis Imperfecta / complications*
  • Prevalence
  • Radiography
  • Retrospective Studies
  • Spondylolysis / complications
  • Spondylolysis / epidemiology
  • Young Adult