Spondylolysis is more common in: March 2009
**Core Concept**
Spondylolysis refers to a defect or fracture in the pars interarticularis, a bony structure connecting the superior and inferior articular processes of the vertebrae. This condition is often associated with stress or fatigue fractures in the spine, particularly in young athletes.
**Why the Correct Answer is Right**
Spondylolysis is more common in individuals who participate in sports that involve repetitive flexion, extension, or rotation of the spine, such as gymnastics, football, or tennis. The repetitive stress on the pars interarticularis can lead to microfractures and eventually a complete fracture. This condition is often seen in adolescents and young adults, particularly during periods of rapid growth and development.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because spondylolisthesis, not spondylolysis, is more common in older adults with degenerative disc disease.
**Option B:** This option is incorrect because while spondylolysis can occur in individuals with a family history of the condition, it is not the most significant risk factor.
**Option C:** This option is incorrect because although spondylolysis can be seen in individuals with osteoporosis, it is not the most common population affected.
**Clinical Pearl / High-Yield Fact**
The "back squat" exercise is a common activity that can lead to spondylolysis due to the repetitive stress on the pars interarticularis. This should be considered in the differential diagnosis of young athletes with lower back pain.
**Correct Answer:** D. Adolescents and young athletes engaged in sports that involve repetitive spinal stress.