Traumatic Spondylolysis – A Case Reports

Chapman, P. J.

doi:10.1136/jramc-133-02-10

Cited by 6 publications

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“…In the clinical literature, spondylolysis has been associated with activities that involve repetitious, vigorous exercise, such as gymnastics (Jackson et al, 1976;Goldberg, 1980;Hooper, 1984;Ciullo and Jackson, 1985;Bozdech and Dukek, 1986;Letts et al, 1986;Commandre et al, 1988), contortionism (Steinbuck and Springorum, 1980), dancing (Micheli, 1983;Bejjani, 1987), diving (Rossi and Dragoni, 1990), hockey (Letts et al, 19861, javelin throwing (Feldmeier et al, 1985;Bejjani, 1987;Chapman, 1987), rowing (Stallard, 1980), canoeing (Jakab, 1989), football (Ferguson et al, 1974;Alexander, 1985;McCarroll et al, 1986), handball (Hoshina, 1980), weight lifting (Kotani et al, 1971;Granhed and Morelli, 1988;Risser, 1991), and wrestling (Rossi and Dragoni, 1990).…”

Section: Discussionmentioning

confidence: 97%

Spondylolysis of the sacrum in Alaskan and Canadian Inuit skeletons

Merbs

1996

Am. J. Phys. Anthropol.

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Spondylolysis of the lower back, particularly that involving the isthmus between the superior and inferior articular processes (pars interarticularis), is generally attributed to stress fracturing caused by movement of the affected vertebra relative to the vertebra below. The finding of isthmic spondylolysis in the first vertebra of a fused sacrum is thus unusual and requires explanation. Although unrepresented in the clinical literature, sacral spondylolysis has been reported for archaeological specimens and appears to be especially prevalent in North American Inuit. A study of 373 Inuit sacra from Alaska and Canada produced 16 examples of spondylolysis (eight from each area). All but one of the affected individuals were male, and nearly all were young adults, many between 18 and 20 years of age. All cases of sacral spondylolysis observed in this study were judged to have resulted from stress fracturing that occurred while S1 was still unfused, and most appear to have been in the process of healing, following fusion of S1 with S2, when death occurred. The high frequency observed in these people is attributed to unusual stresses becoming concentrated in the lower back of adolescent males due to such activities as weight lifting, wrestling, kayak paddling, and harpooning, combined with, and perhaps even contributing to, delayed maturation (S1-S2 fusion) of the sacrum.

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Section: Discussionmentioning

confidence: 97%

Spondylolysis of the sacrum in Alaskan and Canadian Inuit skeletons

Merbs

1996

Am. J. Phys. Anthropol.

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“…25 As the most commonly suspected etiologic component of spondylolysis is stress (fatigue) fracture of the pars interarticularis, 1 the relationship between spondylolysis and military parachutists is supported by the repetitive heavy axial compression and twisting of the spine associated with landing. 26,27 In a radiographic study of the lumbar spine in military parachuting instructors (N = 74) having performed an average of 410 jumps, Bar-Dayan et al 28 concluded that parachuting predisposes to spondylolysis and to degenerative changes of the lumbar spine.…”

Section: Discussionmentioning

confidence: 99%

Chiropractic management of mechanical low back pain secondary to multiple-level lumbar spondylolysis with spondylolisthesis in a United States Marine Corps veteran: a case report

Dunn

Baylis

Ryan

2009

Journal of Chiropractic Medicine

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Conservative management is considered to be the standard of care for spondylolysis and should be explored in its various forms for symptomatic low back pain patients who present without neurologic deficits and with spondylolisthesis below grade III. The response to treatment for the veteran patient in this case suggests that lumbar flexion/distraction may serve as a safe and effective component of conservative management of mechanical low back pain for some patients with spondylolysis and spondylolisthesis.

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Spondylolysis and spondylolisthesis: A cost of being an erect biped or a clever adaptation?

Merbs

1996

Am. J. Phys. Anthropol.

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Spondylolysis refers to a separation in a vertebral arch between the body and the spinous process. Most spondylolysis seen in humans occurs in the lower lumbar region and is due to stress (fatigue) fracturing, usually through the isthmus between the superior and inferior articular processes. Referred to here as “typical” spondylolysis, it is related to erect posture and bipedal locomotion, and, as such, it is a uniquely hominid condition. It develops only after a child has begun to walk, and a developing lesion may heal or progress to complete separation. Seen more often in males than females, frequencies among populations vary widely. Certain activities have been suggested to put individuals performing them at greater risk to develop the condition. Although often approached as a pathological condition requiring corrective treatment, spondylolysis usually produces relatively mild symptoms if any at all, and may even provide the advantages of greater lower back flexibility. Complete bilateral spondylolysis separates the inferior articular processes from the body, thus allowing the body to slip forward relative to the vertebra below (spondylolisthesis). Another form of the condition, referred to as degenerative spondylolisthesis, allows a slow forward migration of one vertebra over another due to osteoarthritic remodeling of the posterior vertebral joints without any spondylolysis. © 1996 Wiley‐Liss, Inc.

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Traumatic Spondylolysis – A Case Reports

Cited by 6 publications

References 0 publications

Spondylolysis of the sacrum in Alaskan and Canadian Inuit skeletons

Spondylolysis of the sacrum in Alaskan and Canadian Inuit skeletons

Chiropractic management of mechanical low back pain secondary to multiple-level lumbar spondylolysis with spondylolisthesis in a United States Marine Corps veteran: a case report

Spondylolysis and spondylolisthesis: A cost of being an erect biped or a clever adaptation?

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