Greene T L, Hensinger R N, Hunter L Y
J Pediatr Orthop. 1985 Jan-Feb;5(1):1-7. doi: 10.1097/01241398-198501000-00001.
Nineteen adolescent patients who presented with mechanical-type back pain and vertebral changes consisting of intravertebral disc herniation, disc space narrowing, and minimal wedge deformity are described. The symptoms and signs were primarily located at the dorsolumbar junction. A specific strenuous activity or traumatic event was clearly associated with the onset of symptoms in 16 of the 19 patients. Spondylolysis or spondylolisthesis (grade I or II) at L5-S1 was also found in 32% of the patients. Most patients responded well to a program of rest, exercises, salicylates, and temporary avoidance of the particular activity involved. Some required orthoses to obtain relief. No patient had a progressive kyphotic deformity during the follow-up period. The relationship of this condition to increased stresses applied to the immature spine, particularly in a preflexed posture, is emphasized.
本文描述了19例青少年患者，他们表现为机械性背痛以及包括椎间盘突出、椎间隙变窄和轻度楔形畸形在内的椎体改变。症状和体征主要位于胸腰段交界处。19例患者中有16例的症状发作与特定的剧烈活动或创伤事件明显相关。32%的患者还发现了L5-S1节段的椎弓根峡部裂或椎体滑脱（I级或II级）。大多数患者对休息、锻炼、水杨酸盐治疗方案以及暂时避免所涉及的特定活动反应良好。一些患者需要使用矫形器来缓解症状。在随访期间，没有患者出现进行性后凸畸形。强调了这种情况与施加于未成熟脊柱的应力增加之间的关系，尤其是在脊柱前屈姿势时。
