Li Nathan, Amarasinghe Sam, Boudreaux Kyle, Fakhre Waddih, Sherman William, Kaye Alan D
Medical College of Wisconsin.
Louisiana State University Health Sciences Center - Shreveport.
Orthop Rev (Pavia). 2022 Aug 30;14(3):37470. doi: 10.52965/001c.37470. eCollection 2022.
Spondylolysis is a bony defect of the pars interarticularis and most often results from repetitive stress. Although spondylolysis is usually asymptomatic, symptomatic spondylolysis is the most common cause of identifiable back pain in children and adolescent athletes. A thorough history and physical exam, as well as appropriate imaging studies are helpful in diagnosis. General first-ine therapy for spondylolysis is conservative and consists of rest from sports, core strengthening, as well as spinal bracing. Patients who have failed conservative therapy may consider surgical repair. This article aims to review the epidemiology, pathophysiology, presentation, and treatment options of spondylolysis.
峡部裂是椎弓根间部的骨质缺损，最常见于反复应力作用。虽然峡部裂通常无症状，但有症状的峡部裂是儿童和青少年运动员可识别的背痛的最常见原因。详细的病史、体格检查以及适当的影像学检查有助于诊断。峡部裂的一般一线治疗是保守治疗，包括停止运动、核心肌群强化训练以及脊柱支具固定。保守治疗失败的患者可考虑手术修复。本文旨在综述峡部裂的流行病学、病理生理学、临床表现及治疗选择。
