Rates of Return to Sports and Recurrence in Pediatric Athletes after Conservative Treatment for Lumbar Spondylolysis
Introduction: Lumbar spondylolysis is common in pediatric athletes, and many athletes can return to sports with conservative treatment. There are two initial treatment strategies: bony union or pain management, but the outcomes of these strategies have not been clarified. The purpose of this study i...
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| Format: | Article |
| Language: | English |
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The Japanese Society for Spine Surgery and Related Research
2022-09-01
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| Series: | Spine Surgery and Related Research |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/ssrr/6/5/6_2021-0242/_pdf/-char/en |
| _version_ | 1811339393428881408 |
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| author | Takuya Kasamasu Yuko Ishida Masahiro Sato Yasuyoshi Mase Koichi Sairyo |
| author_facet | Takuya Kasamasu Yuko Ishida Masahiro Sato Yasuyoshi Mase Koichi Sairyo |
| author_sort | Takuya Kasamasu |
| collection | DOAJ |
| description | Introduction: Lumbar spondylolysis is common in pediatric athletes, and many athletes can return to sports with conservative treatment. There are two initial treatment strategies: bony union or pain management, but the outcomes of these strategies have not been clarified. The purpose of this study is to investigate the rates of return to sports (RTS) and recurrence in pediatric athletes after conservative treatment for lumbar spondylolysis and to compare both treatment strategies.
Methods: A total of 180 patients with lumbar spondylolysis were managed with a trunk brace and cessation of sports activity (bone union [BU] group, n=95) or treated for pain only (pain management [PM] group, n=85). RTS and recurrence rates according to type of conservative treatment were compared.
Results: The RTS rate was 98.9% in the BU group and 97.6% in the PM group at 4.7±1.9 and 1.8±1.7 months, respectively. Recurrence occurred in 7.4% of patients in the BU group at 19.0±16.0 months and in 4.8% of the PM group at 17.8±5.2 months.
Conclusions: The RTS rate in pediatric athletes with lumbar spondylolysis was high at more than 95%, regardless of type of conservative treatment. The mean time to RTS was longer in the BU group than in the PM group (4.7 vs. 1.8 months) because of the time required for bone healing. There were several cases of recurrence after RTS. Strategies to prevent recurrence of lumbar spondylolysis in pediatric athletes are discussed. |
| first_indexed | 2024-04-13T18:26:06Z |
| format | Article |
| id | doaj.art-c6c6ce6248d845189c7d870cce95a481 |
| institution | Directory Open Access Journal |
| issn | 2432-261X |
| language | English |
| last_indexed | 2024-04-13T18:26:06Z |
| publishDate | 2022-09-01 |
| publisher | The Japanese Society for Spine Surgery and Related Research |
| record_format | Article |
| series | Spine Surgery and Related Research |
| spelling | doaj.art-c6c6ce6248d845189c7d870cce95a4812022-12-22T02:35:15ZengThe Japanese Society for Spine Surgery and Related ResearchSpine Surgery and Related Research2432-261X2022-09-016554054410.22603/ssrr.2021-02422021-0242Rates of Return to Sports and Recurrence in Pediatric Athletes after Conservative Treatment for Lumbar SpondylolysisTakuya Kasamasu0Yuko Ishida1Masahiro Sato2Yasuyoshi Mase3Koichi Sairyo4Department of Orthopedics, Tokushima University Graduate SchoolJapan Institute of Sports SciencesDepartment of Rehabilitation, Hachioji Sports Orthopedics ClinicDepartment of Orthopedics, Hachioji Sports Orthopedics ClinicDepartment of Orthopedics, Tokushima University Graduate SchoolIntroduction: Lumbar spondylolysis is common in pediatric athletes, and many athletes can return to sports with conservative treatment. There are two initial treatment strategies: bony union or pain management, but the outcomes of these strategies have not been clarified. The purpose of this study is to investigate the rates of return to sports (RTS) and recurrence in pediatric athletes after conservative treatment for lumbar spondylolysis and to compare both treatment strategies. Methods: A total of 180 patients with lumbar spondylolysis were managed with a trunk brace and cessation of sports activity (bone union [BU] group, n=95) or treated for pain only (pain management [PM] group, n=85). RTS and recurrence rates according to type of conservative treatment were compared. Results: The RTS rate was 98.9% in the BU group and 97.6% in the PM group at 4.7±1.9 and 1.8±1.7 months, respectively. Recurrence occurred in 7.4% of patients in the BU group at 19.0±16.0 months and in 4.8% of the PM group at 17.8±5.2 months. Conclusions: The RTS rate in pediatric athletes with lumbar spondylolysis was high at more than 95%, regardless of type of conservative treatment. The mean time to RTS was longer in the BU group than in the PM group (4.7 vs. 1.8 months) because of the time required for bone healing. There were several cases of recurrence after RTS. Strategies to prevent recurrence of lumbar spondylolysis in pediatric athletes are discussed.https://www.jstage.jst.go.jp/article/ssrr/6/5/6_2021-0242/_pdf/-char/enlumbar spondylolysisconservative treatmentreturn to sportsrecurrence |
| spellingShingle | Takuya Kasamasu Yuko Ishida Masahiro Sato Yasuyoshi Mase Koichi Sairyo Rates of Return to Sports and Recurrence in Pediatric Athletes after Conservative Treatment for Lumbar Spondylolysis Spine Surgery and Related Research lumbar spondylolysis conservative treatment return to sports recurrence |
| title | Rates of Return to Sports and Recurrence in Pediatric Athletes after Conservative Treatment for Lumbar Spondylolysis |
| title_full | Rates of Return to Sports and Recurrence in Pediatric Athletes after Conservative Treatment for Lumbar Spondylolysis |
| title_fullStr | Rates of Return to Sports and Recurrence in Pediatric Athletes after Conservative Treatment for Lumbar Spondylolysis |
| title_full_unstemmed | Rates of Return to Sports and Recurrence in Pediatric Athletes after Conservative Treatment for Lumbar Spondylolysis |
| title_short | Rates of Return to Sports and Recurrence in Pediatric Athletes after Conservative Treatment for Lumbar Spondylolysis |
| title_sort | rates of return to sports and recurrence in pediatric athletes after conservative treatment for lumbar spondylolysis |
| topic | lumbar spondylolysis conservative treatment return to sports recurrence |
| url | https://www.jstage.jst.go.jp/article/ssrr/6/5/6_2021-0242/_pdf/-char/en |
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