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椎弓根峡部裂:通过支具治疗使运动员恢复运动参与。

Spondylolysis: returning the athlete to sports participation with brace treatment.

作者信息

d'Hemecourt Pierre A, Zurakowski David, Kriemler Susi, Micheli Lyle J

机构信息

Department of Orthopedic Surgery, Children's Hospital, Harvard Medical School, Boston, Mass 02115, USA.

出版信息

Orthopedics. 2002 Jun;25(6):653-7. doi: 10.3928/0147-7447-20020601-15.

DOI:10.3928/0147-7447-20020601-15
PMID:12083575
Abstract

Between 1988 and 1995, 73 adolescent athletes treated with the Boston Overlap Brace for spondylolysis were reviewed to evaluate improvement in pain score and activity level. A favorable clinical outcome was achieved in 80%. Girls and boys who participated in high-risk sports were five times more likely to have an unfavorable clinical outcome than those who participated in low-risk sports (odds ratio = 5, 95% confidence interval = 2.4-7.5, P = .003). In addition, acute onset of pain and hamstring tightness were associated with a worse outcome. Athletes with symptomatic spondylolysis treated with an antilordotic brace can expect improvement in their clinical course and return to sports participation in 4-6 weeks.

摘要

在1988年至1995年期间,对73名接受波士顿重叠支具治疗椎弓根峡部裂的青少年运动员进行了回顾性研究,以评估疼痛评分和活动水平的改善情况。80%的患者取得了良好的临床效果。参加高风险运动的女孩和男孩出现不良临床结果的可能性是参加低风险运动者的五倍(优势比=5,95%置信区间=2.4-7.5,P=0.003)。此外,疼痛急性发作和腘绳肌紧张与较差的结果相关。接受抗前凸支具治疗的有症状椎弓根峡部裂运动员有望在4至6周内临床病程得到改善并恢复运动。

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