Back Pain in Athletes

Lawrence, James P.; Greene, Hunter S.; Grauer, Jonathan N.

doi:10.5435/00124635-200612000-00004

Cited by 94 publications

(52 citation statements)

References 34 publications

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“…Wiltse et al in 1976 classified spondylolisthesis in six types the severity of which are graded according to the Meyerding scale in five grades. Among the general population, low back pain (LBP) is a common symptom seen in 50-80 % at any given time [9]. Published rates of low back pain in athletes range from 1 to [30 % and are influenced by sport type, gender, training intensity, training frequency, player position and technique [10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

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: 99%

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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“…The sports with relatively high incidences of such injuries include gymnastics, football, hockey, diving, wrestling, baseball, volleyball, racquet sports, and weightlifting, with gymnastics and football generally considered to have the highest risk. 2,6,8,10,11,[18][19][20][24][25][26]28,30 Two studies have estimated the incidence of low-back pain in athletes with spondylolysis to be 79.8% in high school football players, 72.5% in high school rugby players, and 80.5% in college football players. 18,19 Soler and Calderón 37 documented the prevalence of spondylolysis in Spanish professional athletes, and the results are summarized in Table 4.…”

mentioning

confidence: 99%

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

Drazin¹,

Shirzadi²,

Jeswani³

et al. 2011

FOC

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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.

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“…Other risk factors relating to sports include poor conditioning, improper technique, and abrupt increases in training [ 39 ]. Thirty to 60 % of pediatric and teenage disc herniations are correlated with a trauma or sports-related injury event [ 40 ].…”

Section: Disc Herniationmentioning

confidence: 99%