Physical Therapy Program, University of Kentucky Center for Rural Health, Hazard, KY.
J Athl Train. 1998 Oct;33(4):351-8.
To review the classification, etiology, clinical and radiologic evaluation, and management of the pars interarticularis stress reaction, spondylolysis, and spondylolisthesis progression.
Grateful Med was searched from 1980 to 1998 using the terms "spondylolysis," "spondylolisthesis," "female athlete" "spondylogenic," and "pars interarticularis."
The progression from pars interarticularis stress reaction through spondylolysis to spondylolisthesis is common in adolescent athletes, and, because of hormonal influences and cheerleading and gymnastic maneuvers, females are particularly at risk. Proper diagnosis and management include a thorough evaluation, radiographs (possibly with technetium bone scan or single-photon emission computed tomography), activity modification, dietary counseling, a therapeutic exercise program focusing on proper trunk and hip muscle strength and extensibility balances, and education regarding proper back postures, positioning, lifting mechanics, and jump landings.
CONCLUSIONS/RECOMMENDATIONS: The athletic trainer plays an integral part in managing this injury progression, particularly with identifying at-risk individuals and intervening appropriately.
回顾关节突间应力反应、峡部裂和脊柱滑脱进展的分类、病因、临床和影像学评估以及治疗方法。
使用“峡部裂”、“脊柱滑脱”、“女性运动员”、“脊柱生成”和“关节突间”等术语，对 1980 年至 1998 年的 Grateful Med 进行检索。
青少年运动员中，关节突间应力反应、峡部裂至脊柱滑脱的进展较为常见，且由于激素影响以及啦啦队和体操动作，女性的风险尤其高。恰当的诊断和治疗包括全面评估、影像学检查（可能包括锝骨扫描或单光子发射计算机断层扫描）、活动方式改变、饮食咨询、以正确的躯干和臀部肌肉力量和伸展平衡为重点的治疗性运动方案，以及有关正确的背部姿势、体位、举重力学和跳跃着陆的教育。
结论/建议：运动训练员在管理这种损伤进展方面起着不可或缺的作用，特别是在识别高危人群并进行适当干预方面。
