Treatment for Spondylolysis and Spondylolisthesis in Children

Leonidou, Andreas; Lepetsos, Panagiotis; Pagkalos, Joseph; Antonis, Konstantinos; Flieger, Ioannis; Tsiridis, Eleftherios; Leonidou, Omiros

doi:10.1177/230949901502300326

Cited by 13 publications

(5 citation statements)

References 25 publications

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“…Los pacientes que se sometieron a alguna intervención quirúrgica 24,25,31 a excepción del artículo de Leonidou et al 17 dónde no lo indican, fracasaron en el tratamiento previo exclusivamente conservador cuya duración recomendable es de 6 meses antes de optar por la cirugia 29, 32 . Además se incluyeron métodos conservadores en el periodo postoperatorio hasta completar el proceso de curación 17,24,25,31 por tanto, todos los pacientes dentro de esta revisión se sometieron a un tratamiento conservador de entre tres meses y un año.…”

Section: Discussionunclassified

“…Persiguen el objetivo de conseguir una unión del defecto evitando todos los inconvenientes derivados de esta operación 37 . Todos los trabajos reunidos en esta revisión manejan este tipo de técnicas 24,25,31 , a excepción del ya nombrado Leonidou et al 17 . Las técnicas de fijación interna más usadas sería el tornillo de Buck, el cableado transversal de Nicol y Scott, el tornillo de gancho de Morscher, el sistema Isobar TTL y las variaciones correspondientes de cada técnica 29, 32 .…”

Section: Discussionunclassified

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Tratamiento y vuelta a la práctica deportiva en jóvenes con diagnóstico de espondilosis. Revisión sistemática

García-Sequeiros

Taboada-Iglesias

2020

Rev And Med Dep

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Objetivo: analizar los tratamientos aplicados en pacientes menores de edad con espondilólisis y ver su relación con la vuelta al deporte. Método: se revisaron los artículos en inglés, español o portugués publicados entre 2015 y 2020 publicados en PubMed, Medline, Cinahl, Scopus, Sport Discuss y Web Of Science, seleccionando aquellos que reflejasen el tratamiento de espondilólisis en menores de 18 años y su vuelta al deporte. Se seleccionaron 10 artículos que cumplieron con los criterios de inclusión y exclusión y fueron analizados. Conclusión: el tratamiento conservador es la primera opción para todos los pacientes con espondilólisis, pero parece ser efectivo en las etapas tempranas y progresivas, siendo la opción ideal para las espondilólisis terminales una intervención mínimamente invasiva. Ambos tratamientos deben constar de un periodo de reposo de la actividad deportiva y una rehabilitación física progresiva antes de retomarla.

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Section: Discussionunclassified

Tratamiento y vuelta a la práctica deportiva en jóvenes con diagnóstico de espondilosis. Revisión sistemática

García-Sequeiros

Taboada-Iglesias

2020

Rev And Med Dep

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“…54 Physical therapy emphasizes spine stabilization through stretching of the hip flexors, hamstrings and strengthening of the deep abdominal muscles and lumbar multifidus over a pain-free range of motion arc. 4,55 Lastly, bracing immobilization via a thoracic lumbar sacral orthosis (TLSO) is often used as an adjunct to reduce pain and limit spine mobilization. 4,19,[55][56][57] Despite widespread current use, Klein et al performed a meta-analysis of observational studies assessing nonoperative management modalities and found no statistically significant difference in success rates between those treated with a brace (89.0% in 334 patients) and those without (86% in 137 patients).…”

Section: Nonoperativementioning

confidence: 99%

“…4,55 Lastly, bracing immobilization via a thoracic lumbar sacral orthosis (TLSO) is often used as an adjunct to reduce pain and limit spine mobilization. 4,19,[55][56][57] Despite widespread current use, Klein et al performed a meta-analysis of observational studies assessing nonoperative management modalities and found no statistically significant difference in success rates between those treated with a brace (89.0% in 334 patients) and those without (86% in 137 patients). 5 The authors' protocol typically reserves a short period of bracing for 6 to 8 weeks in patients who do not initially respond to rest and physical therapy.…”

Section: Nonoperativementioning

confidence: 99%

Spondylolysis and Isthmic Spondylolisthesis: A Guide to Diagnosis and Management

et al. 2022

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Introduction: Spondylolysis and isthmic spondylolisthesis are commonly implicated as organic causes of low back pain in this population. Many patients involved in sports that require repetitive hyperextension of the lumbar spine like diving, weightlifting, gymnastics and wrestling develop spondylolysis and isthmic spondylolisthesis. While patients are typically asymptomatic in mild forms, the hallmark of symptoms in more advanced disease include low back pain, radiculopathy, postural changes and rarely, neurologic deficits.Methods: We conducted a narrative review of the literature on the clinical presentation, diagnosis, prognosis and management of spondylolysis and isthmic spondylolisthesis.Results: A comprehensive physical exam and subsequent imaging including radiographs, CT and MRI play a role in the diagnosis of this disease process. While the majority of patients improve with conservative management, others require operative management due to persistent symptoms.Conclusion: Due to the risk of disease progression, referral to a spine surgeon is recommended for any patient suspected of having these conditions. This review provides information and guidelines for practitioners to promote an actionable awareness of spondylolysis and isthmic spondylolisthesis.

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“…Spondylolisthesis is described as anterior translation of one vertebral body over another adjacent vertebra in the absence of a defect of the pars interarticularis. Patients with this condition remain asymptomatic with only occasional back pain; chronic low back pain with or without radicular symptoms; radicular symptom with or without neurological deficit; and intermittent neurogenic claudication [1] . The incidence of spondylolisthesis varies considerably depending on ethnicity, sex, family history, relevant disease and sports activity [2] .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Core Strengthening Exercises and Interferential Therapy on Lumbar Range of Motion in Patients with Spondylolisthesis

Kaur,

Singh,

Koley

2023

Int J Health Sci Res

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Background: Spondylolisthesis is a presumed cause of back pain. Degenerative spondylolisthesis is most commonly observed at the L4-5 level (male 3.9%, female 8.8%, total 5.9%). Various studies are available that showed the beneficial effects in the management of spondylolisthesis, but there were only a few studies conducted comparing the effect of core strengthening exercises and electrotherapy modality. Thus, the present study was designed for the comparison of core strengthening exercises and interferential therapy in patients with spondylolisthesis. Materials and Method: A total of 42 purposively selected confirmed cases of spondylolisthesis (both male and female) aged 25-40 years were considered for the present study. The subjects were further divided into two groups for intervention. Group-A consisted of 21 subjects who were treated with interferential therapy (IFT). Group-B consisted of 21 subjects who were treated with core strengthening exercises. Results: The results of the present study revealed that statistically significant differences were noted for lumbar range of motion between pre- and post-treatment in patients treated both with interferential therapy (p<0.001-0.004) (Group-A) and core strengthening exercises (p<0.003-0.001) (Group-B). But in post-treatment, the patients treated with core strengthening exercises had higher percentage of increment in lumbar range of motion than the patients treated with interferential therapy. Conclusion: The findings of the present study showed that both the five weeks of treatment protocol with interferential therapy and core strengthening exercises can be used to improve the functional disability and lumbar range of motion. But the core strengthening exercises protocol showed statistically greater improvement than interferential therapy protocol. Key words: Core strengthening exercises, Interferential therapy, Lumbar range of motion, Spondylolisthesis.

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Treatment for Spondylolysis and Spondylolisthesis in Children

Abstract: Conservative treatment is effective for most patients with spondylolysis or spondylolisthesis. Instrumented posterolateral fusion is indicated in patients with persistent symptoms and for iatrogenic cases.

Cited by 13 publications

References 25 publications

Tratamiento y vuelta a la práctica deportiva en jóvenes con diagnóstico de espondilosis. Revisión sistemática

Tratamiento y vuelta a la práctica deportiva en jóvenes con diagnóstico de espondilosis. Revisión sistemática

Spondylolysis and Isthmic Spondylolisthesis: A Guide to Diagnosis and Management

Efficacy of Core Strengthening Exercises and Interferential Therapy on Lumbar Range of Motion in Patients with Spondylolisthesis

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