Thank you for your question. It is important to obtain some additional information in order to provide suitable advice.
1. Was the fracture diagnosed from x-ray or MRI (An MRI can tell you if the lesion is currently active and whether pain is likely to be from the lesion or not). It will also tell you if the fracture is recent or old.
2. Is the fracture on one side or both? This is important, again because an MRI will show if there is a developing lesion on the other side, called a stress lesion. This impacts recommendations for care and restricted activity.
3. Is there any forward slippage of the vertebra and if so, by how much? (there are some surgical techniques that may be employed for minor slippages to assist with healing).
4. Which level is it at?
5. Is the teenager playing representative sport or just club sport on a weekend. This is important in deciding the approach to restriction in activity.
there are other mechanical and pathological considerations, but they are too great to cover here.
Generally speaking, pars fractures will not re-unite, and they rarely progress. THis may seem concerning, but in most cases, they will not cause pain in the long term.
The most important consideration is whether the lesion is active and if there is any activity on the other side, and his level of sporting activity.
Strengthening is important, though unlikely to make any difference to the fracture itself.
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