Iwamoto Jun, Sato Yoshihiro, Takeda Tsuyoshi, Matsumoto Hideo
Jun Iwamoto, Tsuyoshi Takeda, Hideo Matsumoto, Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo 160-8582, Japan.
World J Orthop. 2010 Nov 18;1(1):26-30. doi: 10.5312/wjo.v1.i1.26.
To clarify the efficacy of conservative and surgical treatment of spondylolysis in athletes.
PubMed was used to perform a search of the literature for studies published during the period from 1990 to 2009 that reported data on the outcome of conservative or surgical treatment of spondylolysis in athletes. The articles were examined for data on the percentage of athletes who returned to sports activities and the interval between the start of treatment and their return.
Five studies were identified. Two studies were concerned with conservative treatment and the other three with surgical treatment (wire fixation or screw fixation with bone graft). The percentages of athletes who returned to sports activities ranged from 80.0% to 89.3% and from 81.9% to 100%, respectively, and the intervals until their return ranged from 5.4 to 5.5 mo and from 7 to 12 mo, respectively.
The percentages of athletes who returned to sports activities after conservative and surgical treatment appeared to be satisfactory, but the interval until their return to sports activities was longer after surgery than after conservative treatment.
阐明运动员峡部裂保守治疗和手术治疗的疗效。
利用PubMed检索1990年至2009年期间发表的有关运动员峡部裂保守或手术治疗结果的数据的研究。检查这些文章中关于恢复体育活动的运动员百分比以及治疗开始至恢复之间的间隔的数据。
共识别出5项研究。2项研究涉及保守治疗，另外3项涉及手术治疗（钢丝固定或带植骨的螺钉固定）。恢复体育活动的运动员百分比分别为80.0%至89.3%和81.9%至100%，恢复前的间隔分别为5.4至5.5个月和7至12个月。
保守治疗和手术治疗后恢复体育活动的运动员百分比似乎令人满意，但手术后恢复体育活动的间隔比保守治疗后更长。
