Prevalence of Spondylolysis in Symptomatic Adolescent Athletes: An Assessment of Sport Risk in Nonelite Athletes

Selhorst, Mitchell; Fischer, Anastasia; MacDonald, James

doi:10.1097/jsm.0000000000000546

Cited by 55 publications

(54 citation statements)

References 38 publications

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“…All positive diagnoses of spondylolysis had a history of athletic participation. A similar study also found spondylolysis rates as high as 30% among 1025 adolescent athletes presenting to a sports medicine clinic for low back pain [6]. us, there is a significantly higher incidence and prevalence of spondylolysis among young athletes than those in the general pediatric population.…”

Section: Epidemiology and Natural Historymentioning

confidence: 64%

Spondylolysis in Young Athletes: An Overview Emphasizing Nonoperative Management

Goetzinger

Courtney

Yee

et al. 2020

Journal of Sports Medicine

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Lumbar spondylolysis is a unilateral or bilateral defect of the pars interarticularis, an isthmus of bone connecting the superior and inferior facet surfaces in the lumbar spine at a given level. Spondylolysis is common in young athletes participating in sports, particularly those requiring repetitive hyperextension movements. The majority of young athletes are able to return to full sport participation following accurate diagnosis and conservative management, including a structured treatment program. Surgical intervention for isolated pars injuries is seldom necessary. A progressive physical therapy (PT) program is an important component of recovery after sustaining an acute pars fracture. However, there is a paucity of literature detailing PT programs specific to spondylolysis. Here, we provide an overview of the epidemiology, natural history, radiographic evaluation, and management of pars fractures in young athletes. In addition, a detailed description of a physiotherapy program for this population that was developed at a spine center within an academic medical center is provided.

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Section: Epidemiology and Natural Historymentioning

confidence: 64%

Spondylolysis in Young Athletes: An Overview Emphasizing Nonoperative Management

Goetzinger

Courtney

Yee

et al. 2020

Journal of Sports Medicine

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“…Современные исследователи, изучая спондилолиз, традиционно придерживаются двух основных теорий его происхождения и развития: врожденной [9,16,17] и приобретенной [18][19][20][21][22]. Основоположником теории о врожденном происхождении принято считать Ф.л.…”

Section: материал и методыunclassified

“…Интересную информациюоб этом приводят M. Selhorst с соавторами, проанализировавшие наличие спондилолиза у людей, профессионально занимающихся различными видами спорта. Оказалось, что из 11 видов спорта у мужчин и из 14 видов спорта у женщин наиболее опасными в плане формирования спондилолиза являются бейсбол и гимнастика соответственно [22].…”

Section: материал и методыunclassified

“…нередко эта патология находится в «тени» более тяжелого заболевания, такого как спондилолистез, и при отсутствии его лучевых симптомов часто своевременно не диагностируется. В то же время поясничный болевой синдром, вызванный спондилолизом, заметно снижает качество жизни пациентов и нередко приводит к изменениям привычного режима двигательной активности, в том числе спортивной деятельности [10,22].…”

Section: материал и методыunclassified

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Isolated and Multilevel Spondylolysis (Literature Review)

Скрябин¹

2019

Traumatology and Orthopedics of Russia

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One of the main causes of lumbar spine pain is spondylolysis. The purpose of this review is to present the current state of the problem of diagnosis and treatment isolated and multilevel spondylolysis.Materials and Methods. The review includes 86 publications on the problem of spondylolysis for 2005–2019, obtained from electronic databases: PubMed, Cochrane Library, eLIBRARY, CYBERLENINKA.Results. There is still the only known classification of spondylolysis by P. Niggemann et al, which includes four severity of this pathology — from mild to very severe: A, BI, BII, BIII. The classification is based on the nature of changes in the area of bone defect of the vertebral arch when the patient performs functional tests. In some cases, the pathology can be regarded as a transition between different degrees of severity of type B. The treatment of spondylolysis can be both conservative and operational. The conservative therapy consists of physical activity restriction, physiotherapy, wearing a corset, massage, and pharmacotherapy. The purpose of surgical treatment is the removal of fibrous tissue from the zone of spondylolysis and the achievement in this area the bone fusion via a bone autoplasty and(or) osteosynthesis with different metal frameworks. Reasoned arguments about the need for a combination of conservative and surgical treatment of patients with spondylolysis are also reflected in the publications. Information on multilevel spondylolysis is represented by a small number of articles. only 15 authors described clinical cases of multilevel spondylolysis in a total of 21 patients. Spondylolysis is a high risk factor for the spondylolisthesis formation. Among the various categories of patients suffering from spondylolysis and lumbar spondylolysis spondylolisthesis, pregnant women are of particular interest. Hormonal restructuring and changes in the biomechanics of the spine in women during the gestational period often leads to the appearance or intensification pain syndrome in lumbar spine complicating the pregnancy, and hence a fetus development.Conclusion. Timely diagnosis of spondylolysis and the subsequent development of individual rehabilitation not only improves the quality of life of patients, but in some cases can prevent such a serious pathology as spondylolisthesis.

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“…Spondylolysis occurs in individuals playing sports activities, and each sport requires speci c movements and practice menu. It was reported that baseball and soccer were the greatest risk of spondylolysis in young male athletes [10]. Soccer demands several kinds of kicking, short sprints, collisions with other players and occasionally throwing a ball with the hands.…”

Section: Introductionmentioning

confidence: 99%

Comparison of symptomatic spondylolysis in young soccer and baseball players

Yokoe

Tajima

Shinmoto

et al. 2020

Preprint

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Background: Spondylolysis is a main cause of low back pain (LBP) in young athletes. There are few studies analyzing the difference of spondylolysis among young athletes with different sports activity. The purpose of this study was to compare the clinical factors and distribution of the lesions of spondylolysis on magnetic resonance imaging (MRI) scans in young soccer and baseball players with symptomatic spondylolysis.Methods: The medical records of 267 young athletes aged 7 to 18 years old who underwent MRI to evaluate the cause of LBP between 2017 to 2020 were retrospectively reviewed to identify patients with spondylolysis. Of the young athletes with symptomatic spondylolysis, clinical factors and MRI findings in soccer and baseball players were retrospectively evaluated. The clinical factors were age, sex, interval from onset of LBP to MRI, and side of the dominant leg in the sports field. MRI findings included number, lumbar level, and side of the lesions. Results: A total of 33 soccer players (mean age, 15.4 ± 1.4 years) and 49 baseball players (mean age, 15.4 ± 1.6 years) with symptomatic spondylolysis were enrolled. All patients were male. No significant differences were noted in age and the interval from onset of LBP to MRI between the groups. Soccer players had greater numbers of multiple (p < 0.001) and bilateral (p < 0.001) lesions than baseball players. The dominant side of the hand for pitching or batting was correlated with the contralateral-side lesions in baseball players (p = 0.001).Conclusions: The distribution of the lesions of spondylolysis differed in young soccer and baseball players. Pitching or batting with the dominant-side hand would be associated with contralateral-side lesions in baseball players. Sports-specific movements and the side of the dominant leg should be considered when treating young athletes with symptomatic spondylolysis.

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Prevalence of Spondylolysis in Symptomatic Adolescent Athletes: An Assessment of Sport Risk in Nonelite Athletes

Cited by 55 publications

References 38 publications

Spondylolysis in Young Athletes: An Overview Emphasizing Nonoperative Management

Spondylolysis in Young Athletes: An Overview Emphasizing Nonoperative Management

Isolated and Multilevel Spondylolysis (Literature Review)

Comparison of symptomatic spondylolysis in young soccer and baseball players

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