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Return to Play in Adolescent Athletes With Symptomatic Spondylolysis Without Listhesis: A Meta-Analysis.无椎体滑脱的有症状椎弓根峡部裂青少年运动员的重返运动：一项荟萃分析。
Global Spine J. 2018 Apr;8(2):190-197. doi: 10.1177/2192568217734520. Epub 2017 Oct 5.
2
Active stretching for lower extremity muscle tightness in pediatric patients with lumbar spondylolysis.针对腰椎峡部裂小儿患者下肢肌肉紧张进行的主动拉伸。
J Med Invest. 2017;64(1.2):136-139. doi: 10.2152/jmi.64.136.
3
Long-Term Clinical Outcomes and Factors That Predict Poor Prognosis in Athletes After a Diagnosis of Acute Spondylolysis: A Retrospective Review With Telephone Follow-up.急性脊椎滑脱症运动员的长期临床预后及不良预后预测因素：回顾性电话随访研究。
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Conservative Treatment for Bony Healing in Pediatric Lumbar Spondylolysis.小儿腰椎峡部裂骨愈合的保守治疗
Spine (Phila Pa 1976). 2017 Jun 15;42(12):E716-E720. doi: 10.1097/BRS.0000000000001931.
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Management of spondylolysis and low-grade spondylolisthesis in fine athletes. A comprehensive review.优秀运动员脊柱峡部裂和低度腰椎滑脱的管理。一项综述。
Eur J Orthop Surg Traumatol. 2015 Jul;25 Suppl 1:S167-75. doi: 10.1007/s00590-014-1560-7. Epub 2014 Nov 14.
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Spondylolysis in elite junior-level ice hockey players.青少年顶级冰球运动员的脊椎峡部裂。
Sports Health. 2014 Jul;6(4):356-9. doi: 10.1177/1941738113519958.
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Effect of sports modification on clinical outcome in children and adolescent athletes with symptomatic lumbar spondylolysis.运动方式改变对有症状性腰椎峡部裂的儿童和青少年运动员临床结果的影响。
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8
Conservative treatment for pediatric lumbar spondylolysis to achieve bone healing using a hard brace: what type and how long?: Clinical article.采用硬性支具治疗儿童腰椎峡部裂的保守治疗以实现骨愈合：哪种类型，多长时间？：临床文章。
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Conservative treatment of lumbar spondylolysis in young soccer players.青年足球运动员腰椎峡部裂的保守治疗。
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10
Conservative treatment of lumbar spondylolysis in childhood and adolescence: the radiological signs which predict healing.儿童及青少年腰椎峡部裂的保守治疗：预测愈合的放射学征象
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小儿运动员腰椎峡部裂保守治疗后的运动恢复率及复发情况

Rates of Return to Sports and Recurrence in Pediatric Athletes after Conservative Treatment for Lumbar Spondylolysis.

作者信息

Kasamasu Takuya, Ishida Yuko, Sato Masahiro, Mase Yasuyoshi, Sairyo Koichi

机构信息

Department of Orthopedics, Tokushima University Graduate School, Tokushima, Japan.

Department of Rehabilitation, Hachioji Sports Orthopedics Clinic, Tokyo, Japan.

出版信息

Spine Surg Relat Res. 2022 Mar 4;6(5):540-544. doi: 10.22603/ssrr.2021-0242. eCollection 2022 Sep 27.

DOI:10.22603/ssrr.2021-0242
PMID:36348674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9605750/
Abstract

INTRODUCTION

Lumbar spondylolysis is common in pediatric athletes, and many athletes can return to sports with conservative treatment. There are two initial treatment strategies: bony union or pain management, but the outcomes of these strategies have not been clarified. The purpose of this study is to investigate the rates of return to sports (RTS) and recurrence in pediatric athletes after conservative treatment for lumbar spondylolysis and to compare both treatment strategies.

METHODS

A total of 180 patients with lumbar spondylolysis were managed with a trunk brace and cessation of sports activity (bone union [BU] group, n=95) or treated for pain only (pain management [PM] group, n=85). RTS and recurrence rates according to type of conservative treatment were compared.

RESULTS

The RTS rate was 98.9% in the BU group and 97.6% in the PM group at 4.7±1.9 and 1.8±1.7 months, respectively. Recurrence occurred in 7.4% of patients in the BU group at 19.0±16.0 months and in 4.8% of the PM group at 17.8±5.2 months.

CONCLUSIONS

The RTS rate in pediatric athletes with lumbar spondylolysis was high at more than 95%, regardless of type of conservative treatment. The mean time to RTS was longer in the BU group than in the PM group (4.7 . 1.8 months) because of the time required for bone healing. There were several cases of recurrence after RTS. Strategies to prevent recurrence of lumbar spondylolysis in pediatric athletes are discussed.

摘要

引言

腰椎峡部裂在儿童运动员中很常见，许多运动员通过保守治疗可以重返运动。有两种初始治疗策略：骨愈合或疼痛管理，但这些策略的结果尚未明确。本研究的目的是调查儿童运动员腰椎峡部裂保守治疗后的运动恢复率（RTS）和复发情况，并比较两种治疗策略。

方法

共有180例腰椎峡部裂患者接受了躯干支具治疗并停止体育活动（骨愈合[BU]组，n = 95）或仅接受疼痛治疗（疼痛管理[PM]组，n = 85）。比较了根据保守治疗类型的RTS和复发率。

结果

BU组和PM组的RTS率分别在4.7±1.9个月和1.8±1.7个月时为98.9%和97.6%。BU组7.4%的患者在19.0±16.0个月时复发，PM组4.8%的患者在17.8±5.2个月时复发。

结论

无论保守治疗类型如何，腰椎峡部裂儿童运动员的RTS率都很高，超过95%。由于骨愈合所需时间，BU组的平均RTS时间比PM组长（4.7对1.8个月）。RTS后有几例复发情况。讨论了预防儿童运动员腰椎峡部裂复发的策略。