AI Article Synopsis
- The review focuses on the management of lumbar spinal fractures in adult athletes, emphasizing the need to balance quick return to physical activity with the risk of reinjury.
- There is a lack of strong evidence specifically for adult athletes, with most guidelines drawn from expert opinions or studies on children and osteoporotic patients.
- Recommendations for returning to play include being free of pain, maintaining neurological integrity, and having full strength and motion in the lumbar spine and lower extremities, along with wearing protective gear during activities.
Article Abstract
Purpose Of Review: Understanding the management of lumbar spinal fractures and return to play (RTP) criteria is an essential component of care for adult athletes. Appropriate management of lumbar spinal fractures must balance minimizing time away from physical activity while also minimizing risk of reinjury. The purpose of this review is to summarize current recommendations on lumbar spinal fracture management and RTP guidelines and to provide expert opinion on areas of discrepancy in the field.
Recent Findings: There is a paucity of high-level evidence on the management and return to play criteria for adult lumbar spine fractures in athletes. Much of the data and recommendations are based on expert opinion and studies in pediatric or osteoporotic patients, which may not be applicable to adult athletes. These data presented here may be used to aid patient-physician conversations and provide guidance on expectations for patients, coaches, and athletic trainers. In general, we recommend that patients be free of lumbar pain, neurologically intact, and have full strength and motion of the lumbar spine and lower extremities before returning to play. Adequate protective equipment is recommended to be worn at all times during practice and play.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10917715 | PMC |
| http://dx.doi.org/10.1007/s12178-024-09884-0 | DOI Listing |
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