Epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis: a single-institution experience in Japan
Abstract Background Lumbar spondylolysis, a common identifiable cause of low back pain in young athletes, reportedly has a higher incidence rate in males. However, the reason for its higher incidence in males is not clear. This study aimed to investigate the epidemiological differences between the s...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-023-06679-1 |
| _version_ | 1797784809005645824 |
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| author | Reo Asai Masaki Tatsumura Hisanori Gamada Shun Okuwaki Fumihiko Eto Katsuya Nagashima Yousuke Takeuchi Toru Funayama Takeo Mammoto Atsushi Hirano Masashi Yamazaki |
| author_facet | Reo Asai Masaki Tatsumura Hisanori Gamada Shun Okuwaki Fumihiko Eto Katsuya Nagashima Yousuke Takeuchi Toru Funayama Takeo Mammoto Atsushi Hirano Masashi Yamazaki |
| author_sort | Reo Asai |
| collection | DOAJ |
| description | Abstract Background Lumbar spondylolysis, a common identifiable cause of low back pain in young athletes, reportedly has a higher incidence rate in males. However, the reason for its higher incidence in males is not clear. This study aimed to investigate the epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis. Methods A retrospective study was conducted in 197 males and 64 females diagnosed with lumbar spondylolysis. These patients visited our institution from April 2014 to March 2020 with their main complaint being low back pain, and they were followed-up until the end of their treatment. We investigated associations between lumbar spondylosis, their background factors, and characteristics of the lesions and analyzed their treatment results. Results Males had a higher prevalence of spina bifida occulta (SBO) (p = 0.0026), more lesions with bone marrow edema (p = 0.0097), and more lesions in the L5 vertebrae (p = 0.021) than females. The popular sports disciplines were baseball, soccer, and track and field in males, and volleyball, basketball, softball in females. The dropout rate, age at diagnosis, bone union rate, and treatment period did not differ between the sexes. Conclusion Lumbar spondylolysis was more common in males than in females. SBO, bone marrow edema, and L5 lesions were more frequent in males, and sports discipline varied between the sexes. |
| first_indexed | 2024-03-13T00:45:10Z |
| format | Article |
| id | doaj.art-1251436ad50c4ecaa0874bd8b8016e02 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-13T00:45:10Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-1251436ad50c4ecaa0874bd8b8016e022023-07-09T11:03:13ZengBMCBMC Musculoskeletal Disorders1471-24742023-07-012411810.1186/s12891-023-06679-1Epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis: a single-institution experience in JapanReo Asai0Masaki Tatsumura1Hisanori Gamada2Shun Okuwaki3Fumihiko Eto4Katsuya Nagashima5Yousuke Takeuchi6Toru Funayama7Takeo Mammoto8Atsushi Hirano9Masashi Yamazaki10Department of Medical Education and Training, Tsukuba Medical Center HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery, Institute of Medicine, University of TsukubaAbstract Background Lumbar spondylolysis, a common identifiable cause of low back pain in young athletes, reportedly has a higher incidence rate in males. However, the reason for its higher incidence in males is not clear. This study aimed to investigate the epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis. Methods A retrospective study was conducted in 197 males and 64 females diagnosed with lumbar spondylolysis. These patients visited our institution from April 2014 to March 2020 with their main complaint being low back pain, and they were followed-up until the end of their treatment. We investigated associations between lumbar spondylosis, their background factors, and characteristics of the lesions and analyzed their treatment results. Results Males had a higher prevalence of spina bifida occulta (SBO) (p = 0.0026), more lesions with bone marrow edema (p = 0.0097), and more lesions in the L5 vertebrae (p = 0.021) than females. The popular sports disciplines were baseball, soccer, and track and field in males, and volleyball, basketball, softball in females. The dropout rate, age at diagnosis, bone union rate, and treatment period did not differ between the sexes. Conclusion Lumbar spondylolysis was more common in males than in females. SBO, bone marrow edema, and L5 lesions were more frequent in males, and sports discipline varied between the sexes.https://doi.org/10.1186/s12891-023-06679-1Lumbar spondylolysisSex differenceAdolescentSpina bifida occultaBone marrow edemaL5 |
| spellingShingle | Reo Asai Masaki Tatsumura Hisanori Gamada Shun Okuwaki Fumihiko Eto Katsuya Nagashima Yousuke Takeuchi Toru Funayama Takeo Mammoto Atsushi Hirano Masashi Yamazaki Epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis: a single-institution experience in Japan BMC Musculoskeletal Disorders Lumbar spondylolysis Sex difference Adolescent Spina bifida occulta Bone marrow edema L5 |
| title | Epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis: a single-institution experience in Japan |
| title_full | Epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis: a single-institution experience in Japan |
| title_fullStr | Epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis: a single-institution experience in Japan |
| title_full_unstemmed | Epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis: a single-institution experience in Japan |
| title_short | Epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis: a single-institution experience in Japan |
| title_sort | epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis a single institution experience in japan |
| topic | Lumbar spondylolysis Sex difference Adolescent Spina bifida occulta Bone marrow edema L5 |
| url | https://doi.org/10.1186/s12891-023-06679-1 |
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