Repetitive stress on the lumbosacral spine during sporting activity places the athletic patient at risk of developing symptomatic pars defect. Clinical history, physical examination, and diagnostic imaging are important to distinguish spondylolysis from other causes of lower back pain. Early pars stress reaction can be identified with advanced imaging, before the development of cortical fracture or vertebral slip progression to spondylolisthesis. Conservative management is first-line for low-grade injury with surgical intervention indicated for refractory symptoms, severe spondylolisthesis, or considerable neurologic deficit. Prompt diagnosis and management of spondylolysis leads to good outcomes and return to competition for most athletes.
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| http://dx.doi.org/10.1016/j.csm.2021.03.004 | DOI Listing |
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Article Synopsis
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University of São Paulo, University Hospital of Ribeirão Preto Medical School, Division of Neurosurgery, Brazil.
Aim: To compare lumbar X-ray and magnetic resonance imaging (MRI) findings, and to identify the factors associated with joint instability in cases with lumbar spondylolisthesis.
Material And Methods: We performed a retrospective and observational study of patients with a confirmed diagnosis of lumbar or lumbosacral low-grade spondylolisthesis at a single level. Preoperative X-ray and MRI examinations were evaluated.
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Am J Sports Med
November 2024
Division of Sports Medicine, Department of Orthopedics and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
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- The study aimed to identify risk factors associated with upper lumbar stress injuries in pediatric and adolescent athletes by reviewing medical records from two academic centers.
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Free Vascularized Scapula tip Flap to L5-S1 Vertebral Defect After Chronic Infection Related to Interbody Fusion Cage: A Case Report.
Microsurgery
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Spine Section, Orthopedic Department, Akademiska University Hospital, Uppsala, Sweden.
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- - Septic nonunion after vertebral fusion can cause significant disability, often requiring surgery, bone fixation, and antibiotics for management.
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Risk Factors for Nonunion After Nonoperative Treatment for Pediatric Lumbar Spondylolysis: A Retrospective Case-Control Study.
Am J Sports Med
September 2024
Department of Orthopedic Surgery, Anshin Hospital, Kobe, Japan.
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