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Spondylolysis

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https://www.readbyqxmd.com/read/27825292/long-term-clinical-outcomes-and-factors-that-predict-poor-prognosis-in-athletes-after-a-diagnosis-of-acute-spondylolysis-a-retrospective-review-with-telephone-follow-up
#1
Mitchell Selhorst, Anastasia Fischer, Kristine Graft, Reno Ravindran, Eric Peters, Richard Rodenberg, James MacDonald
Study Design Retrospective review with telephone follow-up. Background Acute spondylolytic injuries have a dramatic impact on the young athlete. Excellent short-term clinical outcomes have been observed, but not enough is known about long-term clinical outcomes. Objectives (1) To report long-term clinical outcomes for patients diagnosed with acute spondylolysis, and (2) to assess the prognostic ability of retrospective variables for long-term outcomes. Methods Patients from 2010 through 2013 were retrospectively reviewed to identify patients and to obtain demographic, baseline, and short-term outcomes...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27811518/review-of-pediatric-spondylolysis-and-spondylolisthesis
#2
Rachel M Randall, Michael Silverstein, Ryan Goodwin
Pediatric spondylolysis and spondylolisthesis present with a wide spectrum of pathology and clinical findings, including back pain, leg pain, crouch gait, or neurological deficit. The treatment of spondylolysis alone is typically conservative with bracing, non-steroidal anti-inflammatory drug, and activity restriction, but refractory pain can be successfully surgically managed with intralaminar compression screw, wires, or pedicle screws with rods and laminar hook constructs. The treatment of dysplastic spondylolisthesis is aggressive to prevent neurological deficit, whereas even high-grade isthmic slips can be treated safely with nonoperative measures if no significant neurological deficits are present...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27811514/overuse-injuries-in-the-pediatric-population
#3
Mark Wu, Ryan Fallon, Benton E Heyworth
Athletic overuse injuries are becoming an increasingly common entity in the active pediatric population. The prevalence of these injuries may be attributed to the combination of an underdeveloped musculoskeletal system, increased participation in competitive sport at a younger age, and increased duration and intensity of training. Many of these injuries may go unreported and/or undiagnosed, as they do not all result in time lost from sports, and are not always appreciated on imaging. Left unrecognized, untreated, or poorly managed, overuse injuries can have long-term health consequences for young athletes...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27790318/significance-of-the-pars-interarticularis-in-the-cortical-bone-trajectory-screw-technique-an-in-vivo-insertional-torque-study
#4
Koshi Ninomiya, Koichi Iwatsuki, Yu-Ichiro Ohnishi, Toshika Ohkawa, Toshiki Yoshimine
STUDY DESIGN: Retrospective study. PURPOSE: Cortical bone trajectory (CBT), a more medial-to-lateral and shorter path than the traditional one for spinal fusion, is thought to be effective for severely degenerated vertebrae because screws are primarily stabilized at the posterior elements. We evaluated the efficacy of this approach through in vivo insertional torque measurement. OVERVIEW OF LITERATURE: There has been only one prior in vivo study on CBT insertional torque...
October 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27790316/the-variation-in-the-lumbar-facet-joint-orientation-in-an-adult-asian-population-and-its-relationship-with-the-cross-sectional-area-of-the-multifidus-and-erector-spinae
#5
Kazuhiro Sugawara, Masaki Katayose, Kota Watanabe
STUDY DESIGN: Cross-sectional study of healthy volunteers. PURPOSE: We aimed to investigate the variation in the lumbar facet joint orientation in an adult Asian population. The relationship between the facet joint orientation and muscle cross-sectional area (CSA) of multifidus and erector spinae was also clarified. OVERVIEW OF LITERATURE: Several studies have reported that lumbar pathologies, such as lumbar spondylolysis and degenerative spondylolisthesis, were related to the horizontally shaped lumbar facet joint orientation at the lower lumbar level...
October 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27755499/conservative-treatment-for-bony-healing-in-pediatric-lumbar-spondylolysis
#6
Toshinori Sakai, Fumitake Tezuka, Kazuta Yamashita, Yoichiro Takata, Kosaku Higashino, Akihiro Nagamachi, Koichi Sairyo
STUDY DESIGN: A retrospective review of prospectively collected data. OBJECTIVE: To investigate recent outcomes of conservative treatment for bony healing in pediatric patients with lumbar spondylolysis (LS) and to identify the problems that need to be resolved. SUMMARY OF BACKGROUND DATA: Several diagnostic and therapeutic techniques for LS have been developed recently, leading to better outcomes for bony healing. METHODS: Overall, 63 consecutive pediatric patients (53 boys and 10 girls) with LS (average age: 13...
October 17, 2016: Spine
https://www.readbyqxmd.com/read/27684084/spondylolysis-and-end-plate-arthrosis-at-l5-s1-a-cadaveric-study
#7
Peter T McCunniff, Hojun Yoo, Charles Yu, Navkirat S Bajwa, Jason O Toy, Uri M Ahn, Nicholas Ahn
This study examined the effect of bilateral and unilateral L5 pars defects on the degree of disk degeneration at the L5-S1 level in cadaveric specimens. An observational study was performed of 690 cadaveric specimens selected at random. These specimens represent individuals who died between 1893 and 1938. The study included 558 male and 132 female cadavers. Of the 120 specimens with L5 spondylolysis, 95 cases were bilateral and 25 were unilateral. The remaining 544 specimens were used as the control cohort...
September 29, 2016: Orthopedics
https://www.readbyqxmd.com/read/27672955/poster-189-multilevel-spondylolysis-in-an-adolescent-athlete-a%C3%A2-case-report
#8
Timothy McKenna, Cara C Prideaux
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27669047/imaging-pediatric-spondylolysis-a-systematic-review
#9
Josef N Tofte, Tyler L CarlLee, Andrew J Holte, Sean E Sitton, Stuart L Weinstein
STUDY DESIGN: Systematic Review. OBJECTIVE: To provide an evidence-based recommendation for when and how to employ imaging studies when diagnosing back pain thought to be caused by spondylolysis in pediatric patients. SUMMARY OF BACKGROUND DATA: Spondylolysis is a common structural cause of back pain in pediatric patients. The radiologic methods and algorithms used to diagnose spondylolysis are inconsistent among practitioners. METHODS: A literature review was performed in PubMed and Cochrane databases using the search terms "spondylolysis" "pediatric" "adolescent" "juvenile" "young" "lumbar" "MRI" "bone scan" "CT" and "SPECT"...
September 23, 2016: Spine
https://www.readbyqxmd.com/read/27646205/complications-of-spinal-surgery-for-elderly-patients-with-lumbar-spinal-stenosis-in-a-super-aging-country-an-analysis-of-8033-patients
#10
Yasuaki Imajo, Toshihiko Taguchi, Masashi Neo, Koji Otani, Tadanori Ogata, Hiroshi Ozawa, Naohisa Miyakoshi, Hideki Murakami, Tetsuhiro Iguchi
BACKGROUND: The Japanese Society for Spine Surgery and Related Research (JSSR) performed a third study on complications in spinal surgery in 2011. The purpose was to present information about surgery and complications in a large amount of elderly patients aged 65 years with lumbar spinal stenosis (LSS) without coexisting spondylolisthesis, spondylolysis, or scoliosis, and to compare patients aged ≥80 years to those aged 65-79 years. METHODS: A recordable optical disc for data storage was sent by JSSR in January 2012 to 1105 surgeons certified by the JSSR in order to collect surgical data...
September 16, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27608745/a-novel-motion-preservation-technique-for-intra-and-intra-intersegmental-repair-of-spondylolysis-and-spondylolisthesis-the-lin-technique
#11
James T Bennett, Kenneth J Zook, Peter M Eyvazzadeh, Paul S Lin
OBJECTIVE: A novel motion-preserving technique to directly repair pars defects. Moreover, the indications for repair are expanded to include those with disc disease and associated spondylolisthesis. SUMMARY OF BACKGROUND DATA: The challenge in treating pars defects has been that there are few techniques available to stabilize them adequately. Treatment has focused on fusion across the inter-space versus grafting and instrumentation of the defect itself. We hypothesize that direct repair of the defect favors maintenance of normal motion characteristics by preserving the functional unit of the disc...
September 10, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27565160/-alif-and-plif-interposition-in-low-grade-isthmic-spondylolisthesis-l5-s1-longterm-comparison-of-interbody-fusion-techniques-alif-plif
#12
C Fleege, M Arabmotlagh, W Rother, M Rauschmann, M Rickert
INTRODUCTION: For the treatment of isthmic spondylolisthesis two alternative interbody fusion techniques are available, the dorsoventral interposition in ALIF technique and the dorsal access interposition in PLIF technique. Due to the complications of anterior lumbar surgery and in order to avoid a second operation, the dorsoventral fusion technique is becoming uncommon and mainly a pure dorsal supply is performed. The aim of the study was to compare the clinical long-term results of both treatment techniques...
September 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27562807/orthopaedic-disorders-of-pycnodysostosis-a-report-of-five-clinical-cases
#13
Pilar Rovira Martí, Rosendo Ullot Font
PURPOSE: Pycnodysostosis is a rare autosomal recessive genetic disorder usually diagnosed at an early age. The few previously published case series have generally focused on maxillofacial manifestations and genetic considerations. The purpose of this study was to evaluate the clinical characteristics and differential diagnosis of pycnodysostosis focusing on its orthopaedic manifestations, which have been poorly described in the literature. METHODS: We evaluated clinical and radiographic characteristics of five patients with pycnodysostosis...
August 25, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27556003/athletic-population-with-spondylolysis-review-of-outcomes-following-surgical-repair-or-conservative-management
#14
Pavlos Panteliadis, Navraj S Nagra, Kimberley L Edwards, Eyal Behrbalk, Bronek Boszczyk
STUDY DESIGN: Narrative review. OBJECTIVE: The study aims to critically review the outcomes associated with the surgical repair or conservative management of spondylolysis in athletes. METHODS: The English literature listed in MEDLINE/PubMed was reviewed to identify related articles using the term "spondylolysis AND athlete." The criteria for studies to be included were management of spondylolysis in athletes, English text, and no year, follow-up, or study design restrictions...
September 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27488290/direct-repair-of-lumbar-pars-interarticularis-defects-by-utilizing-intraoperative-o-arm-based-navigation-and-microendoscopic-techniques
#15
Jia Min, Jian Wang, Zheng Feng Zhang, Wen Jie Zheng, Yue Zhou
STUDY DESIGN: Retrospective analysis of the clinical outcomes of eight patients with the lumbar pars interarticulars defects treated by direct repair with the aid of intraoperative O-arm based navigation and microendoscopic techniques. OBJECTIVE: To investigate the efficacy and safety of direct screw repair by using minimally invasive surgery for the lumbar pars interarticulars defects in a pilot study. SUMMARY OF BACKGROUND DATA: Direct repair of pars interarticulars defects has been used to treat young adult patients...
August 3, 2016: Spine
https://www.readbyqxmd.com/read/27444614/accuracy-and-efficacy-of-fluoroscopy-guided-pars-interarticularis-injections-on-immediate-and-short-term-pain-relief
#16
L Michael Kershen, Nicholas C Nacey, James T Patrie, Michael G Fox
PURPOSE: To determine the accuracy and short-term efficacy of fluoroscopy-guided steroid/anesthetic injections for symptomatic pars interarticularis (pars) defects. MATERIALS AND METHODS: Following IRB approval, all fluoroscopically guided pars injections from a single institution (6/2010 to 3/2016) were retrospectively and independently reviewed by two MSK radiologists. The radiologists evaluated the fluoroscopic images to determine if all of the pars injections associated with each procedure were intra-pars (n = 57 procedures; 106 pars injections), peri-pars (n = 3 procedures; three pars injected), or a combination of intra-pars and peri-pars (n = 6 procedures; 12 pars injected)...
October 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27360683/short-and-long-term-outcomes-in-acute-versus-chronic-lumbar-spondylolysis-in-adolescents-athletes-1858-board-10-june-2-2-00-pm-3-30-pm
#17
Eric Welder, Anastasia Fischer, Kristine Graft, Reno Ravindran, Eric Peters, Richard Rodenberg, James MacDonald, Mitchell Selhorst
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27355729/does-the-prevalence-of-spondylolysis-and-spina-bifida-occulta-observed-in-pediatric-patients-remain-stable-in-adults
#18
Julio Urrutia, Tomas Zamora, Jorge Cuellar
STUDY DESIGN: Cross sectional study. OBJECTIVE: To compare the prevalence of lumbar spondylolysis and spina bifida occulta (SBO) in pediatric and adult populations. SUMMARY OF BACKGROUND DATA: The prevalence of spondylolysis reported from radiograph-based studies in children had been questioned in Computed Tomography (CT)-based studies in adults; however, a recent CT-based study in pediatric patients has confirmed the previously reported data in pediatric populations...
June 28, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27347866/timing-of-physical-therapy-referral-in-adolescent-athletes-with-acute-spondylolysis-a-retrospective-chart-review
#19
Mitchell Selhorst, Anastasia Fischer, Kristine Graft, Reno Ravindran, Eric Peters, Richard Rodenberg, Eric Welder, James MacDonald
OBJECTIVES: The purposes of this study were (1) to determine whether the duration of rest before referral to physical therapy (PT) affects the time to make a full return to activity for patients with an acute spondylolysis, (2) to assess the safety of an early referral to PT in patients with an acute spondylolysis. STUDY DESIGN: Retrospective chart review. SETTING: Hospital-based sports medicine clinic. PATIENTS: The medical charts of 196 adolescent athletes (mean age = 14...
June 22, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27345745/irrigation-endoscopic-assisted-percutaneous-pars-repair-technical-note
#20
Hesham Magdi Soliman
BACKGROUND CONTEXT: Spondylolysis is a common source of low back pain in children and adolescents. Despite the benign natural history of the pathology, however it should be noted that as a part of the conservative management many young individuals are forced to discontinue their routine sport activities. In cases resistant to conservative management, direct repair of a pars defect is considered a safe and effective option in young adults with preserved discs. Recently, some reports of minimally invasive pars repair have been described, aiming at preservation of the paraspinal muscles and improvement of the postoperative course...
June 23, 2016: Spine Journal: Official Journal of the North American Spine Society
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