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Background: Back pain in young athletes is common. Adolescents are at an increased risk for back pain related to several factors including rapid growth. Traditionally, the conversation around back pain in the adolescent age group has been centered around diagnosis and treatment; however, there are emerging studies regarding prevention.

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Background: Bracing (thoraco-lumbar-sacral orthosis) has been accepted as mainstay of treatment for symptomatic spondylolysis (SP) and grade I spondylolisthesis (SPL1). However, increasing costs and patient noncompliance can make bracing prohibitive and difficult to manage. The purpose of this study was to determine if SP and SPL1 can be effectively treated using physical therapy and other non-bracing conservative management techniques in order to relieve pain and restore physical function.

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57-year-old woman was recruited for a research study of muscle activation in persons with low back pain. She described a progressive worsening of left lower lumbar pain, which began 5 years prior without any precipitating incident, and intermittent pain at the left gluteal fold (diagnosed as a proximal hamstring tear 2 years prior). Ultrasound revealed marked anterior displacement of the L3-4 and L4-5 facet joints.

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Treatment for spondylolysis and spondylolisthesis in children.

J Orthop Surg (Hong Kong)

December 2015

First Department of Trauma and Orthopaedic Surgery, Athens Paediatric Hospital, Agia Sophia, Greece.

Purpose: To review outcome of 44 children who underwent conservative or surgical treatment for spondylolysis or spondylolisthesis.

Methods: Records of 25 male and 19 female children aged 5 to 14 (mean, 10.2) years who underwent conservative (n=39) or surgical (n=5) treatment for spondylolysis (n=19) or spondylolisthesis (n=25) were reviewed.

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Spine problems in young athletes.

Instr Course Lect

June 2013

Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, Dallas, TX, USA.

Article Synopsis
  • The increasing number of young athletes is leading to higher instances of acute and chronic back pain, primarily due to muscular issues, but certain symptoms require careful evaluation.
  • Proper diagnosis involves a medical history, physical exams, and imaging techniques, especially when pain is accompanied by red flags like night pain or neurologic symptoms.
  • Common causes like spondylolysis can often be treated with conservative measures, and most young athletes can expect to return to sports post-treatment, though some may need to avoid high-impact activities.
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