McCleary Michael D, Congeni Joseph A
Akron Children's Hospital Sports Medicine Center, 388 S. Main Street, Suite 207, Akron, OH 44311, USA.
Curr Sports Med Rep. 2007 Jan;6(1):62-6. doi: 10.1007/s11932-007-0014-y.
Spondylolysis is common among young athletes and should be suspected in any young athlete presenting with low back pain that persists for more than a few weeks. Diagnostic evaluation typically includes plain radiographs followed by more sensitive modalities, including single-photon emission CT, CT, or MRI. There is no consensus on the most appropriate protocol for diagnostic evaluation. Treatment usually consists of rest and/or bracing to allow healing to occur, followed by rehabilitation that includes core strengthening. More large-scale controlled studies need to be done in order to clarify the most effective diagnostic and therapeutic protocols.
椎弓崩裂在年轻运动员中很常见，任何出现持续数周以上下背痛的年轻运动员都应怀疑患有此病。诊断评估通常包括普通X线片，随后采用更敏感的检查方式，包括单光子发射计算机断层扫描（SPECT）、计算机断层扫描（CT）或磁共振成像（MRI）。对于最恰当的诊断评估方案尚无共识。治疗通常包括休息和/或使用支具以促进愈合，随后进行包括核心肌群强化的康复治疗。需要开展更多大规模对照研究以明确最有效的诊断和治疗方案。
