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. 2020 Sep 3;18(4):335–342. doi: 10.1016/j.jcm.2019.02.002

Table 1.

MRI Grading System for Stress Fractures of the Pars Interarticularis9

Grade Description MRI Features
0 Normal Normal marrow signal
Intact cortical margins
1 Stress reaction Marrow edema
Intact cortical margins
2 Incomplete fracture Marrow edema
Cortical fracture incompletely extends through pars
3 Complete active fracture Marrow edema
Fracture completely extends through pars
4 Fracture nonunion No marrow edema
Fracture completely extends through pars