Causes and prevention of low back pain in young athletes

Purcell, L; ,; ,

doi:10.1093/pch/14.8.533

Cited by 11 publications

(7 citation statements)

References 8 publications

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“…During growth, muscles and ligaments often do not follow bone growth, which leads to muscle imbalance and lumbar pain. (Purcell, 2009). LS can also occur in people with reduced hip muscle strength (Alsufiany et al, 2020) and reduced physical activity and sitting time longer than 7 hours per day (Park et al, 2018).…”

Section: Povezanost Kvaliteta žIvota I Lumbalnog Sindroma Osoba Sredn...mentioning

confidence: 99%

Relationship Betwen the Quality of Life and the Lumbar Syndrome, in Middle-Aged Persons

Romanov

Nešić

Grujičić

et al. 2022

SIZ

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Lumbar syndrome (LS) is very common in the population of middle-aged people, especially those who are physically insufficiently active. LS is characterized by lower back pain, and the frequency of pain is one of the risk factors for the quality of life. The aim of the study is to identify the quality of life in people with LS, in relation to the frequency of pain that occurs. The sample consisted of 202 respondents (93 male and 109 female, the average of 47.5 years of age) which was stratified in 3 subsamples, in relation to the frequency of the back pain. The data was collected by a questionnaire designed for the purposes of this research, PAL questionnaire (Perception of Active Lifestyle, Nešić, 2016), which is intended for self-assessment of the quality of life. Based on Spearman’s Rho coefficient, it has been proven that with the more frequent back pain, the quality of life of the respondents’ decreases (p=.000). Relatively high values of χ2 = 23.09 indicated a statistically significant difference in quality of life in people with different frequency of back pain (p=.000). Respondents who had occasional back pain had the highest quality of life, while the respondents with very frequent back pain, had the lowest. In people with a history of lumbar pain, physical activity occupies a very important place, it affects the reduction and the frequency of pain and thus directly on the quality of life of people in this population.

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Section: Povezanost Kvaliteta žIvota I Lumbalnog Sindroma Osoba Sredn...mentioning

confidence: 99%

Relationship Betwen the Quality of Life and the Lumbar Syndrome, in Middle-Aged Persons

Romanov

Nešić

Grujičić

et al. 2022

SIZ

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“…W hile lumbar spondylolysis in the general adult population may reach as high as 5%-7% in select studies, 3,6,7,12,16,19,31,32,38,45,46,67 the actual incidence of spondylolysis in pediatric patients presenting with axial low-back pain may approach 50%.…”

Section: Neurosurg Focus 43 (2):e6 2017mentioning

confidence: 99%

“…

FOCUS

Neurosurg Focus 43 (2):E6, 2017W hile lumbar spondylolysis in the general adult population may reach as high as 5%-7% in select studies, 3,6,7,12,16,19,31,32,38,45,46,67 the actual incidence of spondylolysis in pediatric patients presenting with axial low-back pain may approach 50%.3,36 Numerous prior studies have described the presentation and management of lumbar spondylolysis, most commonly presenting at L-5 in up to 95% of cases and followed by L-4 in 5%-15%. 12,36,37,56 The vertebral segments of greatest lordosis and flexibility in the lumbar spine are the L4-5 and L5-S1 motion segments, where the points of greatest facet overhang occur and the greatest biomechanical forces are applied to the posterior elements.

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mentioning

confidence: 99%

Minimally invasive direct pars repair with cannulated screws and recombinant human bone morphogenetic protein: case series and review of the literature

Ghobrial

Crandall

Lau

et al. 2017

Neurosurgical Focus

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OBJECTIVEThe objective of this study was to describe the use of a minimally invasive surgical treatment of lumbar spondylolysis in athletes by a fluoroscopically guided direct pars screw placement with recombinant human bone morphogenetic protein–2 (rhBMP-2) and to report on clinical and radiographic outcomes.METHODSA retrospective review was conducted of all patients treated surgically for lumbar spondylolysis via a minimally invasive direct pars repair with cannulated screws. Demographic information, clinical features of presentation, perioperative and intraoperative radiographic imaging, and postoperative data were collected. A 1-cm midline incision was performed for the placement of bilateral pars screws utilizing biplanar fluoroscopy, followed by placement of a fully threaded 4.0-mm-diameter titanium cannulated screw. A tubular table-mounted retractor was utilized for direct pars fracture visualization and debridement through a separate incision. The now-visualized pars fracture could then be decorticated, with care taken not to damage the titanium screw when using a high-speed drill. Local bone obtained from the curettage was then placed in the defect with 1.05 mg rhBMP-2 divided equally between the bilateral pars defects.RESULTSNine patients were identified (mean age 17.7 ± 3.42 years, range 14–25 years; 6 male and 3 female). All patients had bilateral pars fractures of L-4 (n = 4) or L-5 (n = 5). The mean duration of preoperative symptoms was 17.22 ± 13.2 months (range 9–48 months). The mean operative duration was 189 ± 29 minutes (range 151–228 minutes). The mean intraoperative blood loss was 17.5 ± 10 ml (range 10–30 ml). Radiographic follow-up was available in all cases; the mean length of time from surgery to the most recent imaging study was 30.8 ± 23.3 months (range 3–59 months). The mean hospital length of stay was 1.13 ± 0.35 days (range 1–2 days). There were no intraoperative complications.CONCLUSIONSLumbar spondylolysis treatment with a minimally invasive direct pars repair is a safe and technically feasible option that minimizes muscle and soft-tissue dissection, which may particularly benefit adolescent patients with a desire to return to a high level of physical activity.

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“…The findings of this study highlight the need for high clinical suspicion of spondylolysis in young athletes with LBP. Bilateral spondylolysis at the same vertebral level can result in spondylolisthesis, the forward displacement of the vertebral on its accompanying caudal segment 87 .…”

Section: Spondylolysis and Spondylolisthesismentioning

confidence: 99%