Minimally-Invasive versus Conventional Repair of Spondylolysis in Athletes: A Review of Outcomes and Return to Play

Kolcun, John Paul G.; Chieng, Lee Onn; Madhavan, Karthik; Wang, Michael Y.

doi:10.4184/asj.2017.11.5.832

Cited by 28 publications

(20 citation statements)

References 31 publications

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“…In a retrospective study of 16 patients with spondylolysis undergoing direct pars repair with the Buck’s screw technique, Snyder et al [ 61 ] demonstrated that Buck’s screw repair provided a satisfactory clinical and radiological outcome, including an early RTS. In a review of minimally invasive versus conventional direct repair of pars for spondylolysis in athletes, Kolcun et al [ 62 ] reported that patients undergoing minimally invasive pars repair had significantly higher rates of pain resolution and shorter recovery times. Both groups were comparable in terms of complication rates and RTP rates.…”

Section: Spondylolysis and Spondylolisthesismentioning

confidence: 99%

Outcomes of Various Treatment Modalities for Lumbar Spinal Ailments in Elite Athletes: A Literature Review

Gadia¹,

Shah²,

Nene³

2018

Asian Spine J

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Lumbar spinal injuries are common in elite athletes, who can present with a spectrum of ailments ranging from lumbar strain to prolapsed intervertebral discs. Sequelae can include neurological impairment and lumbar instability among other possible outcomes. This group of patients is unique in terms of their clinicoradiological presentation and treatment modalities. The primary goals of treatment are a rapid return to play and prevention of recurrence, thus prolonging the athlete’s professional career. Treatment modalities can range from activity restriction to nerve root blocks and surgery. A successful treatment outcome is based on timely diagnosis, treatment suiting the demands of the particular sport, and early rehabilitation. A multidisciplinary team approach involving the coach, rehabilitation specialist, pain management specialist, and spine surgeon helps in planning appropriate treatment. In this article, we review special considerations in the elite athletic population with lumbar spinal ailments as well as the outcomes of various treatment modalities.

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Section: Spondylolysis and Spondylolisthesismentioning

confidence: 99%

Outcomes of Various Treatment Modalities for Lumbar Spinal Ailments in Elite Athletes: A Literature Review

Gadia¹,

Shah²,

Nene³

2018

Asian Spine J

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“…Descriptions of the individual techniques and the available outcome data are well summarized in the 2011 review article by Drazin et al, in which they conclude that any of the described techniques for repair will likely yield acceptable results in young athletes [4]. Modern minimally invasive techniques for direct spondylolysis repair may have superior clinical outcomes over conventional open techniques and may be considered in cases where conservative management has failed [29].…”

Section: Surgical Treatmentmentioning

confidence: 99%

Spondylolysis in Young Athletes: An Overview Emphasizing Nonoperative Management

Goetzinger

Courtney

Yee

et al. 2020

Journal of Sports Medicine

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Lumbar spondylolysis is a unilateral or bilateral defect of the pars interarticularis, an isthmus of bone connecting the superior and inferior facet surfaces in the lumbar spine at a given level. Spondylolysis is common in young athletes participating in sports, particularly those requiring repetitive hyperextension movements. The majority of young athletes are able to return to full sport participation following accurate diagnosis and conservative management, including a structured treatment program. Surgical intervention for isolated pars injuries is seldom necessary. A progressive physical therapy (PT) program is an important component of recovery after sustaining an acute pars fracture. However, there is a paucity of literature detailing PT programs specific to spondylolysis. Here, we provide an overview of the epidemiology, natural history, radiographic evaluation, and management of pars fractures in young athletes. In addition, a detailed description of a physiotherapy program for this population that was developed at a spine center within an academic medical center is provided.

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“…Современные исследователи, изучая спондилолиз, традиционно придерживаются двух основных теорий его происхождения и развития: врожденной [9,16,17] и приобретенной [18][19][20][21][22]. Основоположником теории о врожденном происхождении принято считать Ф.л.…”

Section: материал и методыunclassified

“…учитывая тот факт, что основным клиническим симптомом спондилолиза являются боли, в литературе активно обсуждается лечебная тактика в отношении пациентов, страдающих этой патологией [21,55,70,71]. Значительная часть исследователей придерживается консервативного метода в купировании болевого синдрома, используя в качестве лечебных средств исключение нагрузок на поясничный отдел позвоночника, физиотерапию, корсетирование, массаж, лекарственные средства и мануальную терапию [45,46,52,65,72,73].…”

Section: материал и методыunclassified

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Isolated and Multilevel Spondylolysis (Literature Review)

Скрябин¹

2019

Traumatology and Orthopedics of Russia

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One of the main causes of lumbar spine pain is spondylolysis. The purpose of this review is to present the current state of the problem of diagnosis and treatment isolated and multilevel spondylolysis.Materials and Methods. The review includes 86 publications on the problem of spondylolysis for 2005–2019, obtained from electronic databases: PubMed, Cochrane Library, eLIBRARY, CYBERLENINKA.Results. There is still the only known classification of spondylolysis by P. Niggemann et al, which includes four severity of this pathology — from mild to very severe: A, BI, BII, BIII. The classification is based on the nature of changes in the area of bone defect of the vertebral arch when the patient performs functional tests. In some cases, the pathology can be regarded as a transition between different degrees of severity of type B. The treatment of spondylolysis can be both conservative and operational. The conservative therapy consists of physical activity restriction, physiotherapy, wearing a corset, massage, and pharmacotherapy. The purpose of surgical treatment is the removal of fibrous tissue from the zone of spondylolysis and the achievement in this area the bone fusion via a bone autoplasty and(or) osteosynthesis with different metal frameworks. Reasoned arguments about the need for a combination of conservative and surgical treatment of patients with spondylolysis are also reflected in the publications. Information on multilevel spondylolysis is represented by a small number of articles. only 15 authors described clinical cases of multilevel spondylolysis in a total of 21 patients. Spondylolysis is a high risk factor for the spondylolisthesis formation. Among the various categories of patients suffering from spondylolysis and lumbar spondylolysis spondylolisthesis, pregnant women are of particular interest. Hormonal restructuring and changes in the biomechanics of the spine in women during the gestational period often leads to the appearance or intensification pain syndrome in lumbar spine complicating the pregnancy, and hence a fetus development.Conclusion. Timely diagnosis of spondylolysis and the subsequent development of individual rehabilitation not only improves the quality of life of patients, but in some cases can prevent such a serious pathology as spondylolisthesis.

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Minimally-Invasive versus Conventional Repair of Spondylolysis in Athletes: A Review of Outcomes and Return to Play

Cited by 28 publications

References 31 publications

Outcomes of Various Treatment Modalities for Lumbar Spinal Ailments in Elite Athletes: A Literature Review

Outcomes of Various Treatment Modalities for Lumbar Spinal Ailments in Elite Athletes: A Literature Review

Spondylolysis in Young Athletes: An Overview Emphasizing Nonoperative Management

Isolated and Multilevel Spondylolysis (Literature Review)

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