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Spondylolysis

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https://www.readbyqxmd.com/read/28632562/degenerative-changes-of-the-facet-joints-in-adults-with-lumbar-spondylolysis
#1
Yuichiro Goda, Toshinori Sakai, Taihei Harada, Shoichiro Takao, Yoichiro Takata, Kosaku Higashino, Masafumi Harada, Koichi Sairyo
STUDY DESIGN: Radiologic analysis using computed tomography. OBJECTIVES: To analyze the degenerative changes of the facet joints in patients with spondylolysis in comparison with control subjects. SUMMARY OF BACKGROUND DATA: Defects of the pars interarticularis are thought to result in a reduction of biomechanical stress on adjacent facet joints. Therefore, degenerative changes of the facet joints in patients with spondylolysis are expected to be less than those in patients without spondylolysis...
July 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28617180/lumbar-spondylolysis-a-report-of-four-cases-from-two-generations-of-a-family
#2
Takashi Yurube, Kenichiro Kakutani, Koji Okamoto, Michihiko Manabe, Koichiro Maeno, Masaho Yoshikawa, Norihide Sha, Ryosuke Kuroda, Kotaro Nishida
Spondylolysis is a major cause of back pain in children and adolescents. The prevalence of spondylolysis depends on the sex, race, and congenital abnormality. These biases suggest hereditary predisposition as an etiology of spondylolysis. However, no conclusive evidence still exists regarding the inheritance for spondylolysis. Herein, we report rare cases with familial occurrence of lumbar spondylolysis. In two generations of a Japanese family, three brothers including identical twins complained of back pain related to sports activities...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28594517/adolescent-spondylolysis-management-and-return-to-play
#3
William C Warner, Rodrigo Góes Medéa de Mendonça
The most common causes of low back pain in adolescents are spondylolysis and spondylolisthesis. Mechanical factors combined with rapid growth during adolescence place stress on the spine and can result in a stress fracture. Sports that require athletes to repeatedly place the spine in hyperextension may exacerbate both spondylolysis and spondylolisthesis. Many adolescent athletes with spondylolysis or low-grade spondylolisthesis have minimal symptoms and require no treatment or alteration in activity, including sports activity...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594516/lumbar-spine-injuries-in-the-athlete
#4
Dustin H Massel, Kern Singh
Low back pain is the most common complaint expressed by adult patients in the primary care setting, and the incidence of low back pain in adolescents is rising. Adolescents who are involved in athletics most commonly suffer from spondylolysis, spondylolisthesis, mechanical low back pain, and herniated disks, whereas adult athletes most commonly suffer from lumbosacral strain and herniated or degenerative disks. Initial nonsurgical management aims to reduce inflammation and noninvasively strengthen damaged tissues...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28591074/different-fusion-approaches-for-single-level-lumbar-spondylolysis-have-similar-perioperative-outcomes
#5
Raj J Gala, Patawut Bovonratwet, Matthew L Webb, Arya G Varthi, Michael D Daubs, Jonathan N Grauer
STUDY DESIGN: Retrospective cohort study OBJECTIVE.: To compare perioperative adverse events for patients with lumbar spondylolysis treated with transforaminal lumbar interbody fusion (TLIF), posterior spinal fusion (PSF), combined anterior and posterior fusion (AP fusion), or anterior lumbar interbody fusion (ALIF). SUMMARY OF BACKGROUND DATA: Prior cohort studies have shown similar long-term outcomes for different surgical approaches for this indication, but potential differences in thirty day perioperative adverse events have not been well characterized...
June 6, 2017: Spine
https://www.readbyqxmd.com/read/28574940/management-of-lumbar-conditions-in-the-elite-athlete
#6
Wellington K Hsu, Tyler James Jenkins
Lumbar disk herniation, degenerative disk disease, and spondylolysis are the most prevalent lumbar conditions that result in missed playing time. Lumbar disk herniation has a good prognosis. After recovery from injury, professional athletes return to play 82% of the time. Surgical management of lumbar disk herniation has been shown to be a viable option in athletes in whom nonsurgical measures have failed. Degenerative disk disease is predominately genetic but may be accelerated in athletes secondary to increased physiologic loading...
June 1, 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28542108/contralateral-spondylolysis-and-fracture-of-the-lumbar-pedicle-in-a-young-athlete
#7
Eran Kessous, Tracy Borsinger, Ayesha Rahman, Pierre A d'Hemecourt
STUDY DESIGN: Clinical case report of unilateral pedicular stress fracture with a contralateral spondylolysis in a male high school athlete presenting with low back pain. OBJECTIVES: To report this uncommon cause of low back pain in an adolescent athlete, and review the relevant literature. SUMMARY AND BACKGROUND DATA: The incidence of spondylolysis in the caucasian population was found to be about 3-6%. This number is probably higher in the athletic adolescent age group, with reports ranging from 8-15%...
May 24, 2017: Spine
https://www.readbyqxmd.com/read/28497280/a-minimal-soft-tissue-damage-approach-of-spondylolysis-repair-in-athletes-preliminary-report
#8
Łukasz Bartochowski, Wojciech Jurasz, Jacek Kruczyński
PURPOSE AND HYPOTHESIS: Both spondylolysis and spondylolisthesis come in second place in the causes of pain among athletes. Treatment options include both conservative management and different operative methods. Athletes and adolescents are groups where the priority is to protect tissues from perioperative damage. OBJECTIVE: We present our modification of the Buck's, direct pars repair method, which we believe offers maximum protection of tissues. We used the modified surgical method in young, competitive athletes, in whom non-surgical treatment was not effective...
May 11, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28471908/lumbar-back-pain-secondary-to-spondylolysis
#9
Alexis B Rothenberg Maddocks, Avrum N Pollock
No abstract text is available yet for this article.
May 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28459782/mortality-due-to-surgery-for-degenerative-lumbar-spine
#10
Jyrki Salmenkivi, Reijo Sund, Mika Paavola, Iiris Ruuth, Antti Malmivaara
STUDY DESIGN: Register study. OBJECTIVE: The purpose of this study was to assess the safety of lumbar spine surgery for degenerative disorders and to assess the predictive factors for mortality and causes of death. SUMMARY OF BACKGROUND DATA: Growing numbers and relative indications of spine surgery emphasize the importance of patient safety, We assessed the incidence of mortality related to surgery, overall case fatality and factors predicting mortality in elective spinal surgery...
April 28, 2017: Spine
https://www.readbyqxmd.com/read/28391380/low-intensity-pulsed-ultrasound-is-effective-for-progressive-stage-lumbar-spondylolysis-with-mri-high-signal-change
#11
Hideyuki Arima, Yoshiji Suzuki, Daisuke Togawa, Yuki Mihara, Hideyuki Murata, Yukihiro Matsuyama
PURPOSE: This study aimed to investigate the treatment effects of low-intensity pulsed ultrasound (LIPUS) on progressive-stage spondylolysis. Spondylolysis is a stress fracture of the pars interarticularis. Based on the results of computed tomography, spondylolysis was classified into three categories: early, progressive, and terminal. Bone healing was prolonged or not obtained in progressive-stage spondylolysis. The progression of spondylolysis to nonunion has been associated with an increased incidence of spondylolisthesis...
April 8, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28373610/active-stretching-for-lower-extremity-muscle-tightness-in-pediatric-patients-with-lumbar-spondylolysis
#12
Masahiro Sato, Yasuyoshi Mase, Koichi Sairyo
BACKGROUND: It was reported that hamstring muscle tightness may increase mechanical loading on the lumbar spine. Therefore, we attempt to decrease tightness in the leg muscles in pediatric patients. METHODS: Forty-six pediatric patients with spondylolysis underwent rehabilitation. We applied active stretching to the hamstrings, quadriceps, and triceps surae. Tightness in each muscle was graded as good, fair, or poor. We educated each patient on how to perform active stretching at home...
2017: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/28323705/etiology-of-adult-onset-stress-fracture-in-the-lumbar-spine
#13
Fumitake Tezuka, Koichi Sairyo, Toshinori Sakai, Akira Dezawa
STUDY DESIGN: This study was a case series. OBJECTIVE: The purpose of this paper was to present a case series of fresh stress fractures (spondylolysis) in the lumbar spines of adult athletes. SUMMARY OF BACKGROUND DATA: Lumbar spondylolysis is a stress fracture of the pars interarticularis, which is generally considered a disease of children or adolescence. There is only 1 case series written in English reporting on adult-onset fresh spondylolysis...
April 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28303382/a-rare-case-of-non-traumatic-multi-level-bilateral-pedicle-fractures-of-the-lumbar-spine-in-a-60-year-old-patient
#14
Timo Schmid, Paul Heini, Lorin Benneker
INTRODUCTION: We report a 60-year-old patient who sustained non-traumatic, multi-level, bilateral lumbar pedicle fractures in the setting of unilateral lumbar spondylolysis. A possible fracture mechanism is evaluated and a review of the literature is presented. Whereas contralateral pedicle fractures of lumbar vertebrae with unilateral spondylosis are well described in young athletes, there is only one case report of multi-level, bilateral pedicle fractures of the lumbar spine in a young patient who sustained a high-impact motorcycle accident...
May 2017: European Spine Journal
https://www.readbyqxmd.com/read/28259272/current-evidence-regarding-diagnostic-imaging-methods-for-pediatric-lumbar-spondylolysis-a-report-from-the-scoliosis-research-society-evidence-based-medicine-committee
#15
Charles G T Ledonio, Douglas C Burton, Charles H Crawford, Robert Shay Bess, Jacob M Buchowski, Serena S Hu, Baron S H Lonner, David W Polly, Justin S Smith, James O Sanders
BACKGROUND: Spondylolysis is common among the pediatric population, yet no formal systematic literature review regarding diagnostic imaging has been performed. The Scoliosis Research Society (SRS) requested an assessment of the current state of peer reviewed evidence regarding pediatric spondylolysis. METHODS: Literature was searched professionally and citations retrieved. Abstracts were reviewed and analyzed by the SRS Evidence-Based Medicine Committee. Level I studies were considered to provide Good Evidence for the clinical question...
March 2017: Spine Deformity
https://www.readbyqxmd.com/read/28259265/benign-natural-history-of-spondylolysis-in-adolescence-with-midterm-follow-up
#16
Ted Sousa, David L Skaggs, Priscella Chan, Kent T Yamaguchi, Jerald Borgella, Christopher Lee, Jeffrey Sawyer, Alice Moisan, John M Flynn, Melissa Gunderson, M Timothy Hresko, Pierre D'Hemecourt, Lindsay M Andras
STUDY DESIGN: Retrospective chart review. OBJECTIVES: To use the Micheli Functional Scale to assess adolescent patients with spondylolysis treated conservatively at midterm follow-up. SUMMARY OF BACKGROUND: Spondylolysis is a common source of back pain for adolescents and is generally managed with bracing and physical therapy. There is little data regarding the results of conservative management of spondylolysis over time. METHODS: Four major academic pediatric institutions performed a retrospective chart review of patients from 5 to 21 years of age with the initial diagnosis of spondylolysis...
March 2017: Spine Deformity
https://www.readbyqxmd.com/read/28259264/mri-screening-in-operative-scheuermann-kyphosis-is-it-necessary
#17
Baron S Lonner, Courtney S Toombs, Michael Mechlin, Gina Ciavarra, Suken A Shah, Amer F Samdani, Paul Sponseller, Harry L Shufflebarger, Randal R Betz, Burt Yaszay, Peter O Newton
STUDY DESIGN: Patients with preoperative spine magnetic resonance imaging (MRI) studies from a prospective multicenter study of operative adolescent Scheuermann kyphosis (SK). OBJECTIVES: To investigate the usefulness of MRI screening in operative planning for SK surgeries. SUMMARY OF BACKGROUND DATA: Neural axis abnormalities in operative SK have not been previously studied with MRI screening, despite its use. METHODS: One orthopedic surgeon and two radiologists evaluated all images retrospectively...
March 2017: Spine Deformity
https://www.readbyqxmd.com/read/28247078/congenital-double-level-cervical-spondylolysis-a-case-report-and-review-of-the-literature
#18
Norio Yamamoto, Takaaki Miki, Yoshihisa Nasu, Akihiro Nishiyama, Tomoyuki Dan'ura, Yuzuru Matsui, Toshifumi Ozaki
PURPOSE: We report a rare Japanese female who was affected with three genetic-linked diseases: double-level cervical bilateral spondylolysis in association with spina bifida occulta, cleft lip and monostotic fibrous dysplasia of the right proximal femur. The case was considered to be congenital in origin. We also review the pertinent literature of cervical spondylolysis, with a focus on the pathogenesis of multiple-level cervical spondylolysis. METHODS: A 40-year-old female presented with progressive clumsiness and numbness of the hands...
May 2017: European Spine Journal
https://www.readbyqxmd.com/read/28245271/association-between-vertebral-cross-sectional-area-and-lumbar-lordosis-angle-in-adolescents
#19
Tishya A L Wren, Patricia C Aggabao, Ervin Poorghasamians, Thomas A Chavez, Skorn Ponrartana, Vicente Gilsanz
Lumbar lordosis (LL) is more prominent in women than in men, but the mechanisms responsible for this discrepancy are poorly defined. A recent study indicates that newborn girls have smaller vertebral cross-sectional area (CSA) when compared to boys-a difference that persists throughout life and is independent of body size. We determined the relations between vertebral cross-sectional area (CSA) and LL angle and whether sex differences in lumbar lordosis are related to sex differences in vertebral CSA. Using multi-planar magnetic resonance imaging (MRI), we measured vertebral cross-sectional area (CSA) and vertebral height of the spine of 40 healthy boys and 40 girls, ages 9-13 years...
2017: PloS One
https://www.readbyqxmd.com/read/28128000/assessment-and-rehabilitation-of-chronic-low-back-pain-in-baseball-part-ii
#20
Joseph G Wasser, Jason L Zaremski, Daniel C Herman, Heather K Vincent
Repetitive throwing and hitting motions in baseball place mechanical stresses to the lumbar spine which may cause low back pain (LBP). Pain may be due to vertebral stress reactions or insufficiency fractures, intervertebral disc degeneration or intervertebral disc herniation. Untreated chronic conditions have high potential to lead to a more significant injury such as spondylolysis. Chronic LBP increases the risk for missed playing time, early career termination and lower quality of life after retirement. Proper clinical assessment and prevention/rehabilitation of LBP in this population is thus important for performance, play time and overall long-term quality of life...
April 2017: Research in Sports Medicine
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