Incidence and etiology of lumbar spondylolysis: review of the literature

Sakai, Toshinori; Sairyo, Koichi; Suzue, Naoto; Kosaka, Hirofumi; Yasui, Natsuo

doi:10.1007/s00776-010-1454-4

Cited by 148 publications

(120 citation statements)

References 44 publications

Supporting

Mentioning

109

Contrasting

Unclassified

Order By: Relevance

“…In professional Japanese baseball players, the incidence of pars fractures has been anywhere from 27.5% to 53.5%, far higher than in the general population. 34 Similar to injuries seen in cricket, the pitching motion is hypoth- Fig. 9.…”

mentioning

confidence: 82%

“…10,17 Historically, patients with high-grade spondylolisthesis are considered for multilevel fusions whereas lower grade slips or spondylolysis Direct surgical repair of spondylolysis in athletes: indications, techniques, and outcomes without any slips is suited for direct repair. 32,34 Athletes younger than 20 years are treated with direct repair of the pars defect. Once their pain is controlled, these athletes can start muscle strengthening and range of motion exercises that, with aggressive rehabilitation programs, will have the best chance of returning them to their desired sports.…”

Section: Indications For Surgical Repairmentioning

confidence: 99%

See 1 more Smart Citation

Direct surgical repair of spondylolysis in athletes: indications, techniques, and outcomes

Drazin¹,

Shirzadi²,

Jeswani³

et al. 2011

FOC

View full text Add to dashboard Cite

Object Athletes present with back pain as a common symptom. Various sports involve repetitive hyperextension of the spine along with axial loading and appear to predispose athletes to the spinal pathology spondylolysis. Many athletes with acute back pain require nonsurgical treatment methods; however, persistent recurrent back pain may indicate degenerative disc disease or spondylolysis. Young athletes have a greater incidence of spondylolysis. Surgical solutions are many, and yet there are relatively few data in the literature on both the techniques and outcomes of spondylolytic repair in athletes. In this study, the authors undertook a review of the surgical techniques and outcomes in the treatment of symptomatic spondylolysis in athletes. Methods A systematic review of the MEDLINE and PubMed databases was performed using the following key words to identify articles published between 1950 and 2011: “spondylolysis,” “pars fracture,” “repair,” “athlete,” and/or “sport.” Papers on both athletes and nonathletes were included in the review. Articles were read for data on methodology (retrospective vs prospective), type of treatment, number of patients, mean patient age, and mean follow-up. Results Eighteen articles were included in the review. Eighty-four athletes and 279 nonathletes with a mean age of 20 and 21 years, respectively, composed the population under review. Most of the fractures occurred at L-5 in both patient groups, specifically 96% and 92%, respectively. The average follow-up period was 26 months for athletes and 86 months for nonathletes. According to the modified Henderson criteria, 84% (71 of 84) of the athletes returned to their sports activities. The time intervals until their return ranged from 5 to 12 months. Conclusions For a young athlete with a symptomatic pars defect, any of the described techniques of repair would probably produce acceptable results. An appropriate preoperative workup is important. The ideal candidate is younger than 20 years with minimal or no listhesis and no degenerative changes of the disc. Limited participation in sports can be expected from 5 to 12 months postoperatively.

show abstract

mentioning

confidence: 82%

Section: Indications For Surgical Repairmentioning

confidence: 99%

Direct surgical repair of spondylolysis in athletes: indications, techniques, and outcomes

Drazin¹,

Shirzadi²,

Jeswani³

et al. 2011

FOC

View full text Add to dashboard Cite

show abstract

“…One of the main reasons of spondylolysis is irregular sport activities in the teenagers and adults that may result in pars interarticularis fracture. But as it has no specific sign, people might be afflicted for years [10]. As this injury in afflicted individuals is not well diagnosed, breakout and occurrence of this disease in the general population are estimated to be at a low level [10].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Spondylolysis and Spondylolisthesis in Patients Afflicted with Chronic Back Pain in Babol City, Iran, during 2012 and 2013

Layegh

Hejazian

2017

IrJNS

View full text Add to dashboard Cite

Background and Aim:Chronic back pain is one of the most important reasons of individuals' reference to clinic, so that no determined recognition is posed in considerable number of such individuals. Spondylolysis and spondylolisthesis are two important pathologies that people might be afflicted with for years but they might be unaware of it. Therefore, such diseases may account for chronic back pain. This study aims at analyzing prevalence of these two injuries in individuals afflicted with chronic back pain. Methods and Materials/Patients:This has been a cross-sectional study for two years on individuals who referred to our clinic with complaining about chronic back pain with taken magnetic resonance imaging and radiography of spine for diagnosis of their problem. Information related to current pathologies in imaging was extracted and registered from an interpretation of physician and radiologist report. Results:In this study, 289 out of 692 studied individuals were male. Spondylolysis and spondylolisthesis were observed in 8.6% and 13% of them, respectively. Prevalence of spondylolisthesis in women (18%) was significantly more than that in men especially by aging. There was no statistically significant relationship between spondylolysis and spondylolisthesis. Conclusion:Spondylolisthesis and spondylolysis account for chronic back pain in aged women with prevalence of 13% and 8.6%, respectively. Keywords:

show abstract

“…Also in the United States, Belfi et al [4] found a 5.7% incidence of spondylolysis in 510 asymtomatic patients using abdominal and pelvic CT scans. The incidence of spondylolysis in the general Japanese population was 5.9% [2] . Spondylolysis is more common in the Eskimo population with a high incidence of 50% [5] .…”

Section: Epidemiologymentioning

confidence: 95%

“…The incidence of lumbar spondylolysis is amazing and has been estimated to be approximately 6% in the general population [2] .…”

Section: Epidemiologymentioning

confidence: 99%

Natural History of Lumbar Spondylolysis-Advances and Concerns

Peng

2016

International Journal of Orthopaedics

View full text Add to dashboard Cite

Lumbar spondylolysis is a common cause of low back pain in adolescents and young adults. Due to a lack of understanding to the natural history, its treatment is often chaotic and controversial. Lumbar spondylolisthesis is a common complication of spondylolysis, but slip progression was commonly small and slow according to long-term follow-up studies. Many predisposing risk factors have been identified as associated with a great chance of slip progression. However, the widely accepted mechanism leading to adult slip progression is related to disc degeneration at the slip level. Clinical decision made for patients presenting with spondylolysis and spondylolisthesis principally include concerns for future progression of the spondylolisthesis and issues concerning pain. Most patients with spondylolysis and/or spondylolisthesis respond to conservative treatment. Surgical treatment is generally thought for patients who fail to respond to conservative treatment.

show abstract

Incidence and etiology of lumbar spondylolysis: review of the literature

Cited by 148 publications

References 44 publications

Direct surgical repair of spondylolysis in athletes: indications, techniques, and outcomes

Direct surgical repair of spondylolysis in athletes: indications, techniques, and outcomes

Prevalence of Spondylolysis and Spondylolisthesis in Patients Afflicted with Chronic Back Pain in Babol City, Iran, during 2012 and 2013

Natural History of Lumbar Spondylolysis-Advances and Concerns

Contact Info

Product

Resources

About