Ruiz-Cotorro A, Balius-Matas R, Estruch-Massana A E, Vilaró Angulo J
Spanish Tennis Federation, Spain.
Br J Sports Med. 2006 May;40(5):441-6; discussion 446. doi: 10.1136/bjsm.2005.023960.
The general aetiology, diagnosis, and treatment of spondylolysis, a bone defect in the pars interarticularis of the vertebra, are reviewed. A retrospective study of young tennis players diagnosed between 2000 and 2004 with spondylolysis with or without spondylolisthesis, assessed by radiography and planar bone scintigraphy, is described. If the radiographic results were negative, computed tomography was performed. Sixty six cases were evaluated: 53 L5 lesions, eight L4 lesions, two L3 lesions, and one bilateral lesion at the L2 level. Two more lesions at two levels were found (bilateral L5 and unilateral L4 and L3 on the right side). Classification, treatment, and outcome of the cases are reported. A combination of radiography, planar bone scintigraphy, and SPECT is useful for evaluating spondylolysis in tennis players and recommending treatment. Use of a brace did not appear to achieve significant results.
本文综述了椎弓根峡部裂（一种椎体椎弓根间骨缺损）的一般病因、诊断和治疗方法。描述了一项对2000年至2004年间经X线摄影和平面骨闪烁扫描评估诊断为椎弓根峡部裂伴或不伴椎体滑脱的年轻网球运动员进行的回顾性研究。如果X线摄影结果为阴性，则进行计算机断层扫描。共评估了66例病例：53例为L5病变，8例为L4病变，2例为L3病变，1例为L2水平的双侧病变。另外还发现了两个节段的病变（双侧L5以及右侧的单侧L4和L3）。报告了病例的分类、治疗和结果。X线摄影、平面骨闪烁扫描和单光子发射计算机断层扫描（SPECT）相结合，有助于评估网球运动员的椎弓根峡部裂并推荐治疗方案。使用支具似乎未取得显著效果。
