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Characteristics of upper lumbar spondylolysis in children.
Spine J
January 2025
Department of Orthopaedic Surgery, Anshin Hospital, Kobe, Japan.
Background: Pediatric lumbar spondylolysis (LS) is common in junior and senior high school athletes. Lower LS (L4-L5 level) is more common in children, and upper LS (L1-L3 level) is relatively rare; therefore, the pathogenesis of upper LS remains unclear.
Purpose: To elucidate the mechanisms of upper LS by identifying and comparing characteristics between upper and lower LS cases.
The importance of timing: evaluating the optimal age for surgical intervention in asymptomatic dermal sinus tracts.
J Neurosurg Pediatr
November 2024
1Department of Neurosurgery, Children's National Medical Center.
Article Synopsis
- Dermal sinus tracts (DSTs) are rare congenital lesions that pose risks of infection and neurological issues due to their connection between the skin and spinal cord, making surgical intervention recommended, though the timing for surgery in asymptomatic cases is uncertain.
- A retrospective review from 1998 to 2022 studied 52 patients who underwent DST excision and detethering, excluding those with pre-existing complications.
- Results indicated a median surgery age of 7 months, with complications in 8% of cases, and younger age at surgery was linked to higher risks of postoperative problems and continued neurological issues.
Characteristics of Fresh Lumbar Spondylolysis Occurring below the Age of 9 Years.
JMA J
October 2024
Department of Rehabilitation, Shizuoka Mirai Sports Orthopedics Clinic, Shizuoka, Japan.
Introduction: This study aimed to compare two groups (9 years or younger [U-9] and 10 years or older [O-10]) of patients with fresh lumbar spondylolysis and elucidate their characteristics.
Methods: This study enrolled 51 elementary school students diagnosed with fresh lumbar spondylolysis through magnetic resonance imaging between March 2015 and March 2022. Study 1 included 10 and 46 patients in the early- and late-grade groups, respectively.
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