Presentation
Chronic low back pain
Patient Data
Age: 16 years
Gender: Male
From the case:
Pars defect - T1 VIBE sequence (MRI)
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Marrow edema in the left L5 pedicle with a left-sided complete pars defect.
Case Discussion
Pars stress injuries and fractures/defects are a common cause of low back pain in adolescents. The T1 VIBE sequence has been shown equivalent to CT in demonstrating a defect and its use can result in a reduction in ionizing radiation exposure.