“…in up to 47% of young athletes, 9 whereas disk-related problems are uncommon in children; only 11% of children have disk-related disease, compared with 48% of adults. 9 Idiopathic pain is also less common in young athletes.…”
“…in up to 47% of young athletes, 9 whereas disk-related problems are uncommon in children; only 11% of children have disk-related disease, compared with 48% of adults. 9 Idiopathic pain is also less common in young athletes.…”
“…Posterior element overuse syndrome, also known as 'hyperlordotic back pain' or 'mechanical/muscular back pain', is a constellation of conditions involving the posterior spine, including muscle-tendon units, ligaments and facet joints (3).…”
Section: Posterior Element Overuse Syndromementioning
confidence: 99%
“…The etiology of low back pain in youths is usually significantly different from that in adults (1)(2)(3)(4). Low back pain in youths tend to result from structural injuries, such as spondylolysis, whereas disc pathology and muscular strain are uncommon (3).…”
“…However, in some cases, it can be associated with significant low back pain (LBP). This is especially true in the young athletic population where nearly 50% of cases of LBP can be attributed to spondylolysis or spondylolisthesis [4]. This is in contrast to patients older than 25 years where only 5% of cases of LBP are caused by spondylolysis or spondylolisthesis.…”
Spondylolysis and spondylolisthesis can be associated with significant low back pain, especially in physically active adolescents. Non-operative management is usually successful in improving symptoms, but surgical intervention is occasionally required for those that fail reduction of activity and bracing. In a subpopulation of these patients, direct repair of the pars interarticularis defect can be an effective modality of treatment. The advantage of direct pars repair over intertransverse fusion with or without segmental instrumentation is the preservation of the anatomic integrity and motion of the affected segment. We describe our experience in 5 patients (aged 15–18 years) managed by direct pars interarticularis repair after failing multimodality non-operative treatment. The length of stay averaged 3.2 days (range 3–4 days). All 5 patients were able to return to full activity with either no (60%) or minor (40%) symptoms. No immediate or delayed complications were noted. Patients were followed a minimum of 30 months (range 30–78 months). All 5 patients demonstrated evidence of bony fusion by radiographic criteria. This demonstrates that direct pars repair is a safe and effective modality to treat select groups of patients with spondylolysis and low-grade spondylolisthesis.
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