Spondylolysis in the adolescent athlete

Kim, Hee Jin; Green, Daniel W.

doi:10.1097/mop.0b013e32834255c2

Cited by 41 publications

(34 citation statements)

References 27 publications

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“…The lesion is mainly located at L 5 (71-95 %), L 4 (5-23 %) but can occur at any level. The gender distribution is 2:1 male/female [5][6][7]. The defect is bilateral in approximately 80 % of cases and unilateral in 20 % of cases, with defects found at more than one level in 4 % of patients [8].…”

Section: Introductionmentioning

confidence: 98%

Management of spondylolysis and low-grade spondylolisthesis in fine athletes. A comprehensive review

Bouras

Korovessis

2014

Eur J Orthop Surg Traumatol

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Conservative treatment including physiotherapy and bracing is the mainstay in the treatment of symptomatic spondylolysis and low-grade isthmic spondylolisthesis in fine athletes. If consequent treatment fails, the operative treatment (pars repair and short fusion) is decided. Return to play following surgery varies from 6 to 12 months with prohibition in collision sports. Return to play is mostly depended on specific sport activity.

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Section: Introductionmentioning

confidence: 98%

Management of spondylolysis and low-grade spondylolisthesis in fine athletes. A comprehensive review

Bouras

Korovessis

2014

Eur J Orthop Surg Traumatol

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“…[ 2 ] After years of research, it is widely accepted now that the cause of lumbar spondylolysis is multifactorial, including genetic factors, stress fracture, trauma, changes of sagittal spinopelvic biomechanics, and so on. [ 1 2 3 ] Abnormal sagittal spinopelvic parameters could cause continuous low back pain and be central to the development of many spinal disorders, including spondylolysis, spondylolisthesis, and a variety of other spinal pathologies. [ 4 ] However, the sagittal spinopelvic parameters of Han Chinese people may be different from those of Westerners.…”

Section: Introductionmentioning

confidence: 99%

Differences of Sagittal Lumbosacral Parameters between Patients with Lumbar Spondylolysis and Normal Adults

Yin

Peng

et al. 2016

Chinese Medical Journal

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Background:Recent studies have suggested an association between elevated pelvic incidence (PI) and the development of lumbar spondylolysis. However, there is still lack of investigation for Han Chinese people concerning the normal range of spinopelvic parameters and relationship between abnormal sagittal parameters and lumbar diseases. The objective of the study was to investigate sagittal lumbosacral parameters of adult lumbar spondylolysis patients in Han Chinese population.Methods:A total of 52 adult patients with symptomatic lumbar spondylolysis treated in the General Hospital of Armed Police Force (Beijing, China) were identified as the spondylolysis group. All the 52 patients were divided into two subgroups, Subgroup A: 36 patients with simple lumbar spondylolysis, and Subgroup B: 16 patients with lumbar spondylolysis accompanying with mild lumbar spondylolisthesis (slip percentage <30%). Altogether 207 healthy adults were chosen as the control group. All patients and the control group took lumbosacral lateral radiographs. Seven sagittal lumbosacral parameters, including PI, pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL), L5 incidence, L5 slope, and sacral table angle (STA), were measured in the lateral radiographs. All the parameters aforementioned were compared between the two subgroups and between the spondylolysis group and the control group with independent-sample t-test.Results:There were no statistically significant differences of all seven sagittal lumbosacral parameters between Subgroup A and Subgroup B. PI, PT, SS, and LL were higher (P < 0.05) in the spondylolysis group than those in the control group, but STA was lower (P < 0.001) in the spondylolysis group.Conclusions:Current study results suggest that increased PI and decreased STA may play important roles in the pathology of lumbar spondylolysis in Han Chinese population.

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“…Rassi et al noted that the best clinical outcomes were obtained with three months of sport cessation with no significant difference between those who used bracing and those who did not 98 . Although the utility of brace wear in affecting healing has been questioned, it can still be utilized as a method for promoting proper activity modification in adolescents 102 . The most frequently referenced treatment and bracing protocol for spondylolysis is the use of a Boston brace with recommended wear of 23 hours per day 1,99 .…”

Section: Nonoperativementioning

confidence: 99%