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Text
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URL Address
<a href="http://doi.org/10.1097/00002517-199306050-00007" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/00002517-199306050-00007</a>
Pages
406–411
Issue
5
Volume
6
Dublin Core
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Title
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Defects of pars interarticularis in athletes: a protocol for nonoperative treatment.
Publisher
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Journal of spinal disorders
Date
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1993
1993-10
Subject
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Adolescent; Adult; Athletic Injuries/diagnostic imaging/*therapy; Braces; Clinical Protocols; Female; Humans; Low Back Pain/etiology; Male; Physical Therapy Modalities; Radiography; Retrospective Studies; Scoliosis/complications; Spinal Dysraphism/complications; Spinal Fractures/diagnostic imaging/*etiology/therapy; Spinal Fusion; Spondylolisthesis/diagnostic imaging/*etiology; Spondylolysis/diagnostic imaging/*etiology/surgery; Treatment Outcome
Creator
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Blanda J; Bethem D; Moats W; Lew M
Description
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The purpose of this study was to report the results of a specific treatment protocol for athletes with spondylolysis or spondylolisthesis of the lumbar spine. A retrospective study with recent follow-up was performed on 82 patients treated with restriction of activity, bracing, and physical therapy. All of the patients were involved in sports at first onset of symptoms. Sixty-six patients were boys and 16 were girls. Activities involving repetitive hyperextension and/or extension rotation of the lumbar spine were described as painful in 98% of the patients. Of the 62 patients with spondylolysis, 53 (85%) had an L5 defect and nine (15%) an L4 defect (90% of these 62 patients' defects were located in the most caudad mobile vertebra). Thirty-seven patients had bilateral pars defects, and 25 had unilateral defects. Eight patients had normal roentgenograms, but these eight had abnormal bone scans. Nine patients with spondylolysis underwent posterolateral fusion. Average follow-up was 4.2 years. Fifty-two (84%) had excellent results, eight had good results, and two had fair results. Twenty patients had a spondylolisthesis: 12 were grade I, six were grade II, and two were grade III. Twelve patients (60%) required surgery; 9 had excellent results, one had good results, one had a fair result, and one had a poor result. Pars defects must be suspected in the differential of low back pain in young athletes. Oblique radiographs are frequently diagnostic; however, if the history and examination are suggestive despite normal plain films, a bone scan should be obtained. Nonoperative management of pars defects is frequently successful.(ABSTRACT TRUNCATED AT 250 WORDS)
Identifier
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<a href="http://doi.org/10.1097/00002517-199306050-00007" target="_blank" rel="noreferrer noopener">10.1097/00002517-199306050-00007</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1993
Adolescent
Adult
Athletic Injuries/diagnostic imaging/*therapy
Bethem D
Blanda J
Braces
Clinical Protocols
Female
Humans
Journal of spinal disorders
Lew M
Low Back Pain/etiology
Male
Moats W
Physical Therapy Modalities
Radiography
Retrospective Studies
Scoliosis/complications
Spinal Dysraphism/complications
Spinal Fractures/diagnostic imaging/*etiology/therapy
Spinal Fusion
Spondylolisthesis/diagnostic imaging/*etiology
Spondylolysis/diagnostic imaging/*etiology/surgery
Treatment Outcome