Spondylolysis in Adolescent Athletes: A Descriptive Study of 533 Patients

被引:0
作者
Moeller, James L. [1 ]
机构
[1] West Virginia Univ, Dept Orthopaed, Sports Med Div, 6050 Univ Town Ctr Dr, Morgantown, WV 26501 USA
来源
CLINICAL JOURNAL OF SPORT MEDICINE | 2025年 / 35卷 / 03期
关键词
spondylolysis; pars interarticularis fracture; adolescent; PEDIATRIC SPORTS INJURIES; LOW-BACK-PAIN; CHILDREN;
D O I
10.1097/JSM.0000000000001283
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objective:The objective of this descriptive study was to evaluate spondylolysis in adolescent athletes, including age at time of injury, sport associated with injury, examination findings, site of injury, studies used for diagnosis, treatments, duration of treatment, and outcomes.Design:This was a retrospective chart review of patients who presented with a diagnosis of spondylolysis over a 17-year period.Setting:Community primary care sports medicine practice.Patients:All patients between 10 and 20 years of age diagnosed with spondylolysis.Interventions:There was no set intervention protocol. A variety of interventions and combination of interventions were used and determined by the treating physician on a case-by-case basis.Main Outcome Measures:Clearance for return to sport activity.Results:Males comprised 317 of the 533 patients. Soccer, gymnastics/cheer, football, and basketball were the most common sports associated with spondylolysis. Bilateral injuries were most common. L5 was the most common level for injury. Bracing and formal physical therapy as treatments were associated with longer duration of care. Most patients were treated successfully with nonoperative treatment. Recurrence of injury was rare.Conclusions:Spondylolysis is a common cause of back pain in adolescent athletes. Males are more likely to experience these injuries and are older at presentation compared than females. Spondylosis may be encountered in many sports. Nonoperative treatment leads to successful outcomes in most patients.
引用
收藏
页码:264 / 268
页数:5
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