Spondylolysis and Spondylolisthesis in the Athlete

Tallarico, Richard A.; Madom, Ian A.; Palumbo, Mark A.

doi:10.1097/jsa.0b013e318163be50

Cited by 64 publications

(47 citation statements)

References 31 publications

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“…Sports in which participants are subjected to repetitive hyperextension and rotation across the lumbar spine pose a risk for such injury, and football linemen, oarsmen, dancers, gymnasts, and athletes in sports that involve throwing have a high incidence of this condition [1,2] . Two prospective studies have shown that the incidence of low back pain in athletes with spondylolysis was 72.5% in high school rugby players, 79.8% in high school football players, and 80.5% in college football players [3,4] .…”

Section: Introductionmentioning

confidence: 99%

Return to sports activity by athletes after treatment of spondylolysis

Iwamoto

Satō

Takeda³

et al. 2010

WJO

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Section: Introductionmentioning

confidence: 99%

Return to sports activity by athletes after treatment of spondylolysis

Iwamoto

Satō

Takeda³

et al. 2010

WJO

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“…However, it has been observed that physically active adolescents with a history of participation in competitive sports may develop nonunion. 58 This was the case for 6 (75%) of the 8 patients in our series who could recall the onset of their symptoms in correlation with competitive sporting activity ( Table 1).…”

Section: Discussionmentioning

confidence: 92%

“…[24][25][26]47,48,65 Pain typically manifests as axial low-back pain but often is noted to have radiculopathic features exacerbated by hyperextension. 58 Diagnosis is most commonly performed by oblique radiographs of the lumbar spine. However, many nondisplaced pars fractures may not be evident on plain radiographs, and CT has been the mainstay of fracture identification and preoperative planning (Fig.…”

mentioning

confidence: 99%

Minimally invasive direct pars repair with cannulated screws and recombinant human bone morphogenetic protein: case series and review of the literature

Ghobrial

Crandall

Lau

et al. 2017

Neurosurgical Focus

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OBJECTIVEThe objective of this study was to describe the use of a minimally invasive surgical treatment of lumbar spondylolysis in athletes by a fluoroscopically guided direct pars screw placement with recombinant human bone morphogenetic protein–2 (rhBMP-2) and to report on clinical and radiographic outcomes.METHODSA retrospective review was conducted of all patients treated surgically for lumbar spondylolysis via a minimally invasive direct pars repair with cannulated screws. Demographic information, clinical features of presentation, perioperative and intraoperative radiographic imaging, and postoperative data were collected. A 1-cm midline incision was performed for the placement of bilateral pars screws utilizing biplanar fluoroscopy, followed by placement of a fully threaded 4.0-mm-diameter titanium cannulated screw. A tubular table-mounted retractor was utilized for direct pars fracture visualization and debridement through a separate incision. The now-visualized pars fracture could then be decorticated, with care taken not to damage the titanium screw when using a high-speed drill. Local bone obtained from the curettage was then placed in the defect with 1.05 mg rhBMP-2 divided equally between the bilateral pars defects.RESULTSNine patients were identified (mean age 17.7 ± 3.42 years, range 14–25 years; 6 male and 3 female). All patients had bilateral pars fractures of L-4 (n = 4) or L-5 (n = 5). The mean duration of preoperative symptoms was 17.22 ± 13.2 months (range 9–48 months). The mean operative duration was 189 ± 29 minutes (range 151–228 minutes). The mean intraoperative blood loss was 17.5 ± 10 ml (range 10–30 ml). Radiographic follow-up was available in all cases; the mean length of time from surgery to the most recent imaging study was 30.8 ± 23.3 months (range 3–59 months). The mean hospital length of stay was 1.13 ± 0.35 days (range 1–2 days). There were no intraoperative complications.CONCLUSIONSLumbar spondylolysis treatment with a minimally invasive direct pars repair is a safe and technically feasible option that minimizes muscle and soft-tissue dissection, which may particularly benefit adolescent patients with a desire to return to a high level of physical activity.

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“…Human anatomy, body morphotype [6,7] and professional strengths [8,9] may induce several biomechanical changes in spinal column [5,[10][11][12]. Thus, abnormalities of PI (pelvic incidence) may compromise spinal sagittal balance [13] and seem to be a major parameter in degenerative spinal disease when analyzing the pathogenesis of lumbar spondylolisthesis.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Morphological Hallmark in Symptomatic Spondylotic Beninese Patients

J¹,

Madougou²,

Oladjo³

et al. 2017

JHS

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Spondylolisthesis is a well-known neurosurgical condition, in relation with various factors. The main objective was to report the morphological and radiological hallmark of patients presenting with symptomatic spondylolisthesis. This is a prospective, longitudinal, descriptive and analytical study: 1st April to 30th September 2014. Twenty nine patients were followed up, with female ascendance. The average age is 50 to 69 years. The most frequent level was L4-L5 and in most cases, only one level was involved. Lesions of Grade I were commonest (79.0%). The average values of the SS (sacral slope) and PI (pelvic incidence) was respectively 36.4 ± 6.9° (17.3° to 49.6°) with a median of 37.8° and 64.9 ± 9.2° (42.98° to 87.47°) with a median of 64.6°. LL (lumbar lordosis), had a mean value of 43.8 ± 10.8° (26.2° to 67.0°) with a median of 43.1°. DH (disc height) was 5 to 10 mm in most cases. A report was made with the morphology of the basin of the African woman. Our results are consistent for the most part with the literature data. This present study illustrates a female to male ration of 3. According to BMI (body mass index) assessment, 69% of patients presented with overweight. The main radiologic parameters are compromised with increasing sacral slop and PI and reduction of DH and LL. Findings are characteristic in female population.

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Spondylolysis and Spondylolisthesis in the Athlete

Cited by 64 publications

References 31 publications

Return to sports activity by athletes after treatment of spondylolysis

Return to sports activity by athletes after treatment of spondylolysis

Minimally invasive direct pars repair with cannulated screws and recombinant human bone morphogenetic protein: case series and review of the literature

Epidemiology and Morphological Hallmark in Symptomatic Spondylotic Beninese Patients

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