Serviço de Ortopedia e Traumatología, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal.
Clínica do Dragão, Espregueira-Mendes Sports Centre - FIFA Medical Centre of Excellence, Porto, Portugal; Dom Henrique Research Centre, Portugal; Faculty of Sports of University of Porto, Porto, Portugal.
Phys Ther Sport. 2019 May;37:34-43. doi: 10.1016/j.ptsp.2019.02.005. Epub 2019 Feb 19.
Analyze the return to sports rate and timing after conservative and surgical treatment in athletes with spondylolysis.
Comprehensive search using Pubmed, Cochrane Library and SPORTDiscus databases to identify English language studies that assessed the return to sports after conservative or surgical treatment of symptomatic spondylolysis in athletes. The main outcome of interest was the return to sports rate and timing, as well as, the follow-up clinical and functional outcomes.
A total of 14 trials (592 participants) were included. Eight and seven studies reported the outcomes of conservative and surgical approach, respectively. A total of 92% (n = 492) and 88% (n = 100) of athletes return to sports at any level, and 89% (n = 185) and 81% (n = 103) returned to their pre-injury level of sports for conservative and surgical approaches, respectively. The time to return to sports was 4.6 and 6.8 months for conservative and surgical approaches, respectively.
Conservative management (bracing, sports modification and physiotherapy) of athletes with spondylolysis show excellent return to sports rates at any level and at the pre-injury level at a mean of 4.6 months. Those who fail the conservative treatment can be successfully managed with surgical treatment with a high rate of return to sports at 6.8 months.
Level IV, Systematic review of level IV studies.
分析保守治疗和手术治疗后运动员脊柱峡部裂的重返运动率和时间。
使用 Pubmed、Cochrane Library 和 SPORTDiscus 数据库进行全面检索，以确定评估运动员症状性脊柱峡部裂保守或手术治疗后重返运动的英文研究。主要观察结果是重返运动率和时间，以及随访的临床和功能结果。
共纳入 14 项试验（592 名参与者）。8 项和 7 项研究分别报告了保守和手术方法的结果。共有 92%（n=492）和 88%（n=100）的运动员在任何水平上重返运动，89%（n=185）和 81%（n=103）的运动员分别通过保守和手术方法恢复到受伤前的运动水平。重返运动的时间分别为保守和手术方法的 4.6 个月和 6.8 个月。
保守治疗（支具、运动修正和物理治疗）可使脊柱峡部裂运动员以很高的比例在任何水平和受伤前水平上恢复运动，平均时间为 4.6 个月。那些保守治疗失败的患者可以通过手术治疗成功管理，术后 6.8 个月的重返运动率很高。
IV 级，对 IV 级研究的系统评价。
