keyword
https://read.qxmd.com/read/38524709/spondylolysis-and-spondylolisthesis-in-athletes
#1
JOURNAL ARTICLE
Marcos Vaz de Lima, Maria Fernanda Silber Caffaro, Claudio Santili, Robert G Watkins Iv
This article is an update on spondylolysis and spondylolisthesis in athletes, from diagnosis to treatment, based on our service experience and a literature review.
February 2024: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/38514931/effectiveness-of-lumbar-segmental-stabilization-exercises-in-managing-disability-and-pain-intensity-among-patients-with-lumbar-spondylolysis-and-spondylolisthesis-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#2
JOURNAL ARTICLE
Long-Huei Lin, Ting-Yu Lin, Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar
STUDY DESIGN: Systematic review and meta-analysis. OBJECTIVE: This study aims to assess the effectiveness of lumbar segmental stabilization exercises (LSSE) in managing spondylolysis and spondylolisthesis. SUMMARY OF BACKGROUND DATA: Spondylolysis and spondylolisthesis are spinal disorders associated with lumbar segmental instability. LSSE have shown positive effects in treating these conditions; however, systematic reviews and meta-analyses are lacking...
March 20, 2024: Spine
https://read.qxmd.com/read/38512363/long-term-ct-follow-up-of-patients-with-lumbar-spondylolysis-reveals-low-rate-of-spontaneous-bone-fusion
#3
JOURNAL ARTICLE
Anita Staudenmann, Adrian Alexander Marth, Christoph Stern, Stefan Fröhlich, Reto Sutter
OBJECTIVES: Knowledge about the long-term outcome of patients with lumbar spondylolysis (LS) is limited. This study assessed the frequency of bone fusion in conservatively treated lumbar spondylolysis with photon counting detector computed tomography. METHODS: Patients with lumbar spondylolysis diagnosed with CT or MRI were prospectively enrolled and underwent CT 5-10 years after initial imaging. Image assessment included evaluation of Meyerding grade, listhesis size, measurement of the lysis gap, and disc integrity on the lysis level...
March 21, 2024: Skeletal Radiology
https://read.qxmd.com/read/38499064/imaging-predictors-of-progression-of-lumbar-spondylolysis-to-spondylolisthesis-a-systematic-review
#4
REVIEW
Stone Sima, Xiaolong Chen, Kyle Sheldrick, Allen Lu, Ashish D Diwan
BACKGROUND CONTEXT: Isthmic spondylolisthesis (IS) is defined as the anterior translation of one lumbar vertebra relative to the next caudal segment as a result of a unilateral or bilateral fracture of the pars interarticularis. These fractures are interchangeably known as "pars defects" or "spondylolysis". Many risk factors have been proposed to explain the progression of a spondylolytic defect to IS, however, none are validated. PURPOSE: This systematic review provides an overview of various radiological and imaging parameters that can help predict the risk of progression of a spondylolytic defect into IS...
March 16, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38432841/factors-associated-with-return-to-play-following-conservative-treatment-for-lumbar-spondylolysis-among-young-athletes-a-retrospective-case-series-using-structural-equation-modeling
#5
JOURNAL ARTICLE
Masahiro Tsukada, Toshiro Takiuchi, Noriko Ichinoseki-Sekine
INTRODUCTION: Lumbar spondylolysis is the most common underlying cause of lower back pain (LBP) in young athletes. Conservative treatment methods are often used to reduce pain and promote healing. Several parameters may affect the duration of conservative treatment, such as the time to return to play (RTP), patient behavior, and physical parameters; however, no study has comprehensively assessed the factors that affect the time to RTP. OBJECTIVES: This study aimed to determine the factors associated with the time required for RTP among young athletes with early-stage spondylolysis receiving conservative treatment using structural equation modeling (SEM)...
January 2024: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/38420702/correlation-of-radiographic-healing-on-advanced-imaging-in-young-adults-and-adolescents-with-symptomatic-spondylolysis-before-and-after-treatment-a-retrospective-study
#6
JOURNAL ARTICLE
Chase Gauthier, Yianni Bakaes, Haley Puckett, John Dinger, Alec Giakas, Michael Horan
STUDY DESIGN: Retrospective chart-review. OBJECTIVE: To determine the effect of conservative measures on radiographic outcomes in those with isolated spondylosis. SUMMARY OF BACKGROUND DATA: Spondylosis is a common cause of low back pain in pediatric patients, affecting between 4.4 and 4.7% of all pediatric patients. This rate is even higher in high-level athletes, with recent studies suggesting a rate of 47% in this population. Conservative measures are recommended for treating symptomatic spondylosis and are effective in controlling symptoms, but there is little evidence regarding their effect on radiographic outcomes...
February 29, 2024: Spine
https://read.qxmd.com/read/38405007/differences-in-lumbopelvic-alignment-in-adolescent-male-soccer-players-with-bilateral-and-unilateral-lumbar-bone-stress-injuries-an-mri-evaluation
#7
JOURNAL ARTICLE
Toshiharu Tsutsui, Toshinao Kamikubo, Wataru Sakamaki, Seira Takei, Toshihiro Maemichi, Suguru Torii
BACKGROUND: Differences in the physical characteristics of bilateral and unilateral lumbar bone stress injuries (BSIs) are unknown. PURPOSE: To compare bilateral and unilateral lumbar BSIs in adolescent male soccer players, with a focus on lumbopelvic alignment. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: A total of 78 players (age range, 12-15 years) from a local soccer club who had magnetic resonance imaging (MRI) evaluations were included in the study...
February 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38401088/comparison-of-direct-pars-repair-techniques-for-spondylolysis-in-young-patients-pedicle-screw-hook-system-versus-pedicle-screw-rod
#8
JOURNAL ARTICLE
Yao Zhao, Hongliang Wang, Guangjun Jiao, Lu Zhang, Wenliang Wu, Haichun Liu, Yunzhen Chen
BACKGROUND: Lumbar spondylolysis (LS) poses a potential threat, and there is a need to evaluate and compare the effectiveness of direct pars repair techniques. OBJECTIVE: To assess and compare the clinical and radiographic outcomes of direct pars repair techniques using the pedicle screw hook system (PSHS) and the pedicle screw rod system (PSRS) in young symptomatic patients with lumbar spondylolysis. METHODS: A retrospective study was conducted to compare clinical and radiological data in young symptomatic LS patients after surgery...
February 9, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38389515/robotic-assisted-minimally-invasive-repair-surgery-for-progressive-spondylolysis-in-a-young-athlete-a-technical-note
#9
JOURNAL ARTICLE
Daisuke Yamashita, Kazuta Yamashita, Kosuke Sugiura, Masatoshi Morimoto, Hiroaki Manabe, Fumitake Tezuka, Koichi Sairyo
Presently, the invasiveness of direct repair surgery for lumbar spondylolysis is relatively high. Thus, high school and junior high school students who play sports often cannot return to sports before graduation because of the invasiveness. The use of a robotic system enabled an accurate and minimally invasive procedure. Robotic-assisted minimally invasive direct pars repair surgery is useful for young patients with progressive spondylolysis.
February 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38371880/using-the-pedicle-screw-u-rod-system-for-the-treatment-of-double-level-lumbar-spondylolysis-and-isthmic-spondylolisthesis
#10
JOURNAL ARTICLE
Jinghao Jiang, Tao Lin, Xia Chen, Rui Gao, Xuhui Zhou
OBJECTIVE: The aim of this study was to evaluate the efficacy of the pedicle screw-U rod system in treating double-level lumbar spondylolysis with or without spondylolisthesis. METHODS: A retrospective study was conducted. Twenty-six patients were included in this study and followed up at 3, 6, and 12 months. Patients without spondylolisthesis were treated with double U-shaped rods (group I), and patients with spondylolisthesis were treated with a lengthened U-shaped rod (group II)...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38368342/factors-associated-with-non-fusion-after-direct-pars-repair-of-lumbar-spondylolysis-with-pedicle-screw-and-lamina-hook-a-clinical-and-ct-assessed-study
#11
JOURNAL ARTICLE
Xinhu Guo, Zhuofu Li, Zhaoqing Guo, Weishi Li
BACKGROUND: Pedicle screw and lamina hook (PSLH) technique is an effective and popular method for direct pars repair of lumbar spondylolysis. There is a lack of studies to explore factors that may influence the healing of spondylolysis after direct pars repair surgery. The present study aimed to investigate the factors associated with non-fusion after direct pars repair of lumbar spondylolysis with PSLH technique. METHODS: A total of 55 subjects (average age 21...
February 17, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38344348/surgical-management-of-complex-lumbosacral-anomaly-with-minimally-invasive-spinal-fusion-a-clinical-image
#12
Stylianos Kapetanakis, Constantinos Chaniotakis, Joanna Bladowska, Nikolaos Gkantsinikoudis
KEY CLINICAL MESSAGE: Lumbosacral junction anomalies represent a rather frequent finding in patients with low back pain. Involved healthcare professionals should be familiar with these dysplasias, in order to achieve proper diagnosis and optimize clinical outcomes. ABSTRACT: Dysplastic alterations in lumbosacral junction represent a frequent finding in patients with low back pain. Lumbosacral transitional vertebra (LSTV), spina bifida occulta (SBO) and isthmic spondylolisthesis (IS) present recognized etiologies of low back pain...
February 2024: Clinical Case Reports
https://read.qxmd.com/read/38343411/association-of-pars-defect-type-with-clinical-outcome-after-smiley-face-rod-methods-for-terminal-stage-spondylolysis
#13
JOURNAL ARTICLE
Shun Okuwaki, Masaki Tatsumura, Hisanori Gamada, Reo Asai, Katsuya Nagashima, Yosuke Takeuchi, Toru Funayama, Masashi Yamazaki
INTRODUCTION: The smiley face rod method is an effective treatment for symptomatic terminal-stage spondylolysis. However, the risk factors for treatment failure are unknown. We investigated the association of pars defect type with the treatment outcomes of this method. METHODS: We retrospectively examined data from 34 patients (18.0±6.7 years) with terminal-stage spondylolysis who underwent surgery using the smiley face rod method. The mean follow-up period was 44...
January 27, 2024: Spine surgery and related research
https://read.qxmd.com/read/38302625/biportal-endoscopic-bone-graft-repair-and-percutaneous-screw-fixation-for-lumbar-spondylolysis-technical-note-and-clinical-outcomes
#14
JOURNAL ARTICLE
Wenlong Wang, Zheng Liu, Pengfei Lyu, Shuo Zhang, Haibin Bai
BACKGROUND: Lumbar spondylolysis involves a bony defect in the vertebral pars interarticularis, predominantly affecting the lower lumbar spine. This condition is a significant etiological factor in lumbar instability and recurrent lower back pain, particularly in young individuals. While conservative treatments are the primary intervention, they often fail to provide relief, necessitating surgical approaches. Notwithstanding, executing bone grafting and fixation in the pars interarticularis defect simultaneously through minimally invasive surgery remains challenging...
February 2, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38300472/return-to-play-criteria-after-adult-lumbar-spinal-fractures-a-review-of-current-literature-and-expert-recommendations
#15
REVIEW
Lisa Bonsignore-Opp, Anoop Galivanche, Ashraf N El Naga, David Gendelberg
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...
February 1, 2024: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/38292800/osteopetrosis-complicated-by-multilevel-spondylolysis
#16
William W Pryor, Carolina V Guimaraes, Lane F Donnelly
Osteopetrosis is a heterogenous group of inheritable disorders which manifests as increased bone density and brittleness. The most common and mildest variant typically presents in adulthood with bone pain and pathologic fractures, including spondylolysis. We present the case of an otherwise healthy, active 17-year-old male with a history of osteopetrosis and 1 year of chronic back pain, found to have multilevel (L1-L4) spondylolysis in the setting of severe diffuse bony sclerosis consistent with osteopetrosis...
April 2024: Radiology Case Reports
https://read.qxmd.com/read/38276087/pars-interarticularis-fractures-treated-with-minimally-invasive-surgery-a-literature-review
#17
REVIEW
Adrienne Minor, Benjamin R Klein, Mareshah N Sowah, Kayla Etienne, Allan D Levi
Recurrent stress on the isthmic pars interarticularis often leads to profound injury and symptom burden. When conservative and medical management fail, there are various operative interventions that can be used. The current review details the common clinical presentation and treatment of pars injury, with a special focus on the emerging minimally invasive procedures used in isthmic pars interarticularis repair. PubMed and Google Scholar database literature reviews were conducted. The keywords and phrases that were searched include but were not limited to; "history of spondylolysis", "pars interarticularis", "pars defect", "conventional surgical repair of pars", and "minimally invasive repair of pars"...
January 19, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38262981/swimming-anatomy-and-lower-back-injuries-in-competitive-swimmers-a-narrative-review
#18
REVIEW
Connie Hsu, Brian Krabak, Brian Cunningham, Joanne Borg-Stein
CONTEXT: Competitive swimmers are at high risk of overuse musculoskeletal injuries due to their high training volumes. Spine injuries are the second most common musculoskeletal injury in swimmers and are often a result of the combination of improper technique, high loads on the spine in strokes that require hyperextension, and repetitive overuse leading to fatigue of the supporting trunk muscles. The purpose of this review is to summarize the current evidence regarding swimming biomechanics, stroke techniques, and common injuries in the lumbar spine to promote a discussion on the prevention and rehabilitation of lower back injuries in competitive swimmers...
January 23, 2024: Sports Health
https://read.qxmd.com/read/38221532/screening-patients-requiring-secondary-lumbar-surgery-for-degenerative-lumbar-spine-diseases-a-nationwide-sample-cohort-study
#19
JOURNAL ARTICLE
Hangeul Park, Juhee Lee, Yunhee Choi, Jun-Hoe Kim, Sum Kim, Young-Rak Kim, Chang-Hyun Lee, Sung Bae Park, Kyoung-Tae Kim, John M Rhee, Chi Heon Kim
This study aims to identify healthcare costs indicators predicting secondary surgery for degenerative lumbar spine disease (DLSD), which significantly impacts healthcare budgets. Analyzing data from the National Health Insurance Service-National Sample Cohort (NHIS-NSC) database of Republic of Korea (ROK), the study included 3881 patients who had surgery for lumbar disc herniation (LDH), lumbar spinal stenosis without spondylolisthesis (LSS without SPL), lumbar spinal stenosis with spondylolisthesis (LSS with SPL), and spondylolysis (SP) from 2006 to 2008...
January 14, 2024: Scientific Reports
https://read.qxmd.com/read/38216892/characteristics-of-lumbar-spondylolysis-l5-versus-non-l5
#20
JOURNAL ARTICLE
Hisanori Gamada, Masaki Tatsumura, Shun Okuwaki, Reo Asai, Toru Funayama, Masashi Yamazaki
BACKGROUND: Fifth lumbar vertebra (L5) spondylolysis has a lower bone union rate than non-L5 spondylolysis, but the reason for this is unknown. This study aimed to evaluate the differences in patient and lesion characteristics between L5 and non-L5 spondylolysis. METHODS: A total of 410 patients with lumbar spondylolysis aged 18 years or younger who were treated conservatively were enrolled. Patients and lesions were divided into L5 and non-L5 (L2-L4) spondylolysis...
January 12, 2024: BMC Musculoskeletal Disorders
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