High Prevalence of Disc Degeneration and Spondylolysis in the Lumbar Spine of Professional Beach Volleyball Players

Külling, Fabrice; Florianz, Hannes; Reepschläger, Bastian; Gasser, Johann; Jost, Bernhard; Lajtai, G.

doi:10.1177/2325967114528862

Cited by 36 publications

(48 citation statements)

References 40 publications

(65 reference statements)

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“…Our study found a high number of lesions in soccer practitioners probably due to the high sensitivity of MRI for the detection of lesions-this is in contrast to most other studies that did not use MRI [16,22,33].…”

Section: Discussioncontrasting

confidence: 95%

Lesions of the Lumbar Region in Asymptomatic Young Soccer Players: A Cross-Sectional Study

Júnior

Amorim

Vidal

et al. 2020

Preprint

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Background: Athletes generally exceed the limits of the body, which can result in various lesions. The pediatric musculoskeletal system is particularly susceptible to lesions through overuse for various reasons including an immature growth plate. While spinal column lesions are relatively rare, they can lead to permanent disability. Studies on spinal lesions in young athletes are rare. To assess abnormalities frequency of the lumbar region in asymptomatic young soccer players.Methods: Cross-sectional study. Male adolescents from schools of grassroots soccer clubs and non-practicing activity controls were included by convenience. The abnormalities frequency. of the lumbar region was evaluated by magnetic resonance imaging (MRI), performed using 1.5T devices with multi-channel coils in model equipment models. The types of lesions evaluated were general, warning signs, instituted, anterior and posterior, and of the column. Comparisons between groups and the relative percentage of each lesion type were compared by Pearson’s chi-squared test and Fischer’s exact test. The inter and intra-observer analyses were compared by the Kappa test.Results: Forty-five adolescents were included, of whom 25 (56%) were soccer-practicing teenagers. No significant differences were identified between the variables age (P=0.960) and the body mass index (BMI) Z-score (P=0.540) between the group of soccer players and the controls. However, the percentages of lesions (general, instituted, anterior and posterior, and in the spinal column) were significantly higher in the practicing football group than in the control group (P=0.002, P<0.001, P= 0.012, and P=0.006, respectively).Conclusion: Young adolescent asymptomatic soccer players have more lumbar spine lesions than less active controls who do not practice sports regularly.

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Section: Discussioncontrasting

confidence: 95%

Lesions of the Lumbar Region in Asymptomatic Young Soccer Players: A Cross-Sectional Study

Júnior

Amorim

Vidal

et al. 2020

Preprint

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“…Although lumbar disc degeneration is a common imaging finding in asymptomatic and symptomatic young individuals, our study showed that Olympic athletes have higher prevalence of moderate to severe disc degeneration than nonathletes [14,[29][30][31]. Even with the wide variation related to sample sizes, different age ranges, different clinical presentation, and different criteria and classification of the degenerative changes, our results are in accordance with several prior studies that showed the higher rate of these degenerative changes of the lumbar spine in athletes [1,2,6,[32][33][34][35]. For instance, Ong et al studied the degenerative changes in elite athletes with lower back pain at the Sydney 2000 Olympic Games and showed degenerative changes of 36% of the discs at the L5/S1 level which is comparable to our study [6].…”

Section: Discussionsupporting

confidence: 91%

MRI-detected spinal disc degenerative changes in athletes participating in the Rio de Janeiro 2016 Summer Olympics games

Abdalkader

Guermazi

Engebretsen

et al. 2020

BMC Musculoskelet Disord

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Objective: To describe the frequency and the distribution of degenerative disc disease (DDD) detected in athletes who underwent spine MRI in the 2016 Summer Olympic Games in Rio de Janeiro. Methods: Data on spine MRI examinations from the 2016 Summer Olympics were retrospectively analyzed. We assessed the frequency of DDD of the cervical (Cs), thoracic (Ts), and lumbar (Ls) spine using Pfirrmann's classification. Grade II and III were considered as mild, grade IV as moderate, and grade V as severe disc degeneration. Data were analyzed according to the location of the degenerative disc, type of sport, age-groups, and gender of the athletes. Results: One hundred out of 11,274 athletes underwent 108 spine MRI's (21 C, 6 T, and 81 L) (53% Females (F), 47% Males (M)). The frequency of DDD was 40% (42% F, 58% M) over the entire spine (28% mild, 9% moderate and 3% severe). There were 58% (12%F, 88%M) of the cervical spine discs that showed some degree of degeneration (44% mild, 13.5% moderate and 1% severe). Athletics, Boxing, and Swimming were the sports most affected by DDD in the Cs. There were 12.5% of the thoracic discs that showed some degree of degeneration, all were mild DDD and were exclusively seen in female athletes. There were 39% (53% F, 47% M) of the lumbar discs with DDD (26% mild, 9% moderate, and 4% severe). Conclusion: Athletes who underwent spine MRI during the 2016 Summer Olympic Games show a high frequency of DDD of cervical and lumbar spines. Recognition of these conditions is important to develop training techniques that may minimize the development of degenerative pathology of the spine.

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“…All of these sports have been associated with quite a high prevalence of lumbar DD. 6,7,9,14,15,[17][18][19][20]23,[34][35][36] One of the more popular sports in Finland-football-has been previously associated with presacral DD, 23 but in our cohort, football was not associated with lumbar DD. Our questionnaire on participation to different sports included the most popular sports among young Finns in 1997-1998.…”

Section: Discussioncontrasting

confidence: 49%

Association between adolescent sport activities and lumbar disk degeneration among young adults

Takatalo

Karppinen

Näyhä

et al. 2017

Scandinavian Med Sci Sports

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The relationship between different sport activities and lumbar intervertebral disk degeneration (DD) is largely unknown. We evaluated whether adolescent participation in different sports is associated with lumbar DD in a population-based birth cohort of young adults. A total of 558 young adults (325 females and 233 males) underwent magnetic resonance imaging (MRI, 1.5-T scanner). A DD sum score, based on the Pfirrmann grading, was calculated for all lumbar levels. The sum score was categorized into no DD, 1, 2, or at least 3. Participation in different sport activities was self-reported by postal surveys at 16, 18, and 19 years, and three groups were formed based on participation frequency in 11 sports: (a) highly active (at least twice a week), (b) moderately active (2-4 times a month), and (c) inactive (maximum once a month). Cumulative odds ratios (COR) and their 95% confidence intervals (CI) were obtained for each sport by ordinal logistic regression, adjusting for gender, body mass index, age, socioeconomic status, smoking, and other sports. Highly active participation in jogging/running and swimming was associated with a higher DD sum score (COR: 3.0; 95% CI: 1.4-6.3 and 5.0; 1.7-15.2, respectively) compared to inactive participation, whereas highly active participation in skating showed low COR. In conclusion, running and swimming at least twice a week in early adulthood are potentially associated with lumbar DD. Follow-up studies with MRI are needed to show whether frequent exposure to running or swimming has further effect on the integrity of lumbar intervertebral disks.

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High Prevalence of Disc Degeneration and Spondylolysis in the Lumbar Spine of Professional Beach Volleyball Players

Cited by 36 publications

References 40 publications

Lesions of the Lumbar Region in Asymptomatic Young Soccer Players: A Cross-Sectional Study

Lesions of the Lumbar Region in Asymptomatic Young Soccer Players: A Cross-Sectional Study

MRI-detected spinal disc degenerative changes in athletes participating in the Rio de Janeiro 2016 Summer Olympics games

Association between adolescent sport activities and lumbar disk degeneration among young adults

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