Lumbosacral Spondylolysis and Spondylolisthesis

Chung, Christopher C.; Shimer, Adam L.

doi:10.1016/j.csm.2021.03.004

Cited by 29 publications

(22 citation statements)

References 125 publications

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“…For the interim, the patient was referred to physical therapy to continue working on core strengthening and pelvic stabilization as well as a modified weight loss program that incorporated aquatic exercise. We discussed the utility of a lumbar supportive brace, and she was instructed to continue with medications as needed (Beutler et al, 2003; Chung & Shimer, 2021; Jarvik & Deyo, 2002; Mansfield & Wroten, 2021; Maus, 2010; McTimoney & Micheli, 2003; Tawfik et al, 2020).…”

Section: Managementmentioning

confidence: 99%

Pars Interarticularis Defect

Graham¹

2021

Orthopaedic Nursing

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Section: Managementmentioning

confidence: 99%

Pars Interarticularis Defect

Graham¹

2021

Orthopaedic Nursing

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“…Lumbar spondylolysis is a common fatigue fracture in adolescent athletes. The first line of treatment is conservative therapy, which includes rest and a brace [ 1 , 2 ]. In the past, staging with axial computed tomography (CT) slices was common and influenced the outcome of conservative treatment [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Conservative Treatment and Unfavorable Factors to Bone Healing of “Pre-lysis”-Stage Lumbar Spondylolysis in Adolescents

et al. 2023

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To evaluate the clinical outcomes of the conservative treatment of "pre-lysis"-stage lumbar spondylolysis. Overview of Literature: With the widespread use of magnetic resonance imaging (MRI) for early diagnosis of lumbar spondylolysis, a new disease stage called pre-lysis has emerged, in which intensity change is observed only on MRI without a fracture line on computed tomography. This study aimed to evaluate the clinical outcomes and factors unfavorable to bone healing of the conservative treatment of pre-lysis-stage lumbar spondylolysis. Methods: Fifty-three patients with 57 fresh pre-lysis-stage lesions who had completed conservative treatment were included in the study (40 men, 13 women; mean age, 14.3 years). We investigated the rate of bone healing and the relationship between bone healing after conservative therapy and factors such as age, sex, vertebral level, unilateral/bilateral lesions, and presence of spina bifida occulta. Results:The overall bone healing rate was 95% (54/57 lesions). Bilateral lesions had a significantly lower bone healing rate than unilateral lesions (86% vs. 100%, p=0.046). There were no statistically significant differences based on age, sex, vertebral level, or presence of spina bifida occulta. Conclusions:The bone healing rate in unilateral lesions was 100%, which was significantly higher than that in bilateral lesions. It is important to detect and initiate treatment while the lesion is still unilateral, if possible.

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“…It is often caused by mechanical stress and is common in children and adolescents with low back pain. 3 It is not clinically significant during early stages, but repetitive forces cause minute damage to the bone over time; when this rate of damage is more rapid than the cellular repair of the bone, a fracture of the facet joint occurs. This condition is observed in 25–39%, and even as high as 47%, of athletes with back pain.…”

Section: Introductionmentioning

confidence: 99%

“…This condition is observed in 25–39%, and even as high as 47%, of athletes with back pain. 3 , 4 Pain due to spondylolysis generally has an insidious onset and recurrence and is associated with activity. It generally worsens with back extension and occasionally radiates to the buttock or posterior thigh, which makes it similar to the facet joint syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Experimental Rat Model of Bony Defects in the Facet Joint Maintained with Bone Wax for the Study of Spinal Pain

Jo²,

Park

et al. 2022

JPR

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Purpose Studies using experimental rat models for low back pain due to facet-joint defects are scarce. This study used a novel experimental rat model to determine whether bony defects induced by facetectomy could be maintained by bone wax, thus mimicking spondylolysis, and to analyze the effect of the facetectomy on rat behavior. Patients and Methods Twelve 10-week-old male Wistar rats weighing 300–350 g were divided into group A (n = 6) that underwent unilateral facetectomy of the right L5-6 facet joint and group B (n = 6) that additionally applied water-soluble bone wax at the facetectomy site. The difference in the left and right stride length, detected by the footprint test, and change in the left and right facet joint area were compared before and 4 weeks after the experiment. Results Even though the difference between the left and right stride lengths of groups A and B was not statistically significant, in contrast to group A, group B showed a shorter stride length on the right side (p = 0.22 and 0.46, in group A and group B, respectively). The right facet joint area, where the facetectomy was performed, was significantly smaller in group B 4 weeks after surgery, but not in group A (p = 0.50 and < 0.01, in group A and group B, respectively). Conclusion Based on the results, we concluded that the bony defects, induced by facetectomy at the L5-6 facet joint, were maintained with bone wax. This study will provide an experimental model for bony defects in the facet joint.

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Lumbosacral Spondylolysis and Spondylolisthesis

Cited by 29 publications

References 125 publications

Pars Interarticularis Defect

Pars Interarticularis Defect

Conservative Treatment and Unfavorable Factors to Bone Healing of “Pre-lysis”-Stage Lumbar Spondylolysis in Adolescents

Experimental Rat Model of Bony Defects in the Facet Joint Maintained with Bone Wax for the Study of Spinal Pain

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