History: trauma, back pain
*A thank you to one of the Neuroradiologists who helped with this case.
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Answer: of course, bilateral L2 pars interarticularis defects (aka spondylolysis)
I can probably count on one hand how many isolated non-L5 pars defects I’ve seen, including this one. As the reference reports, over 95% are at L5!
I show this case primarily as a reminder that common things happen at uncommon locations, and thorough-ness over speediness every day of the week!