Muschik M, Hähnel H, Robinson P N, Perka C, Muschik C
Orthopaedic Clinic of the Medical Faculty (Charité), Humboldt University, Berlin, Germany.
J Pediatr Orthop. 1996 May-Jun;16(3):364-9. doi: 10.1097/00004694-199605000-00014.
To consider the effects of several years of competitive sports training on children and adolescents with spondylolisthesis, we carried out a retrospective radiologic and clinical study of 86 young athletes with spondylolysis or spondylolisthesis (24 girls and 62 boys between the ages of 6 and 20 years). The mean degree of displacement was 10.1% at the beginning of the observation. The radiologic tests showed an increase in displacement over time in 33 athletes. The average progression of spondylolisthesis in this group was 10.5%. For 36 athletes, spondylolisthesis did not progress during the period of athletic training. In seven athletes, a decrease in the displacement was observed, from 17.9 to 8.9% on average. For 10 athletes, the course of spondylolisthesis could not be determined, because only one lateral radiograph was available. In spite of intensive daily training, the athletes had no symptoms during the entire period of observation, which lasted an average of 4.8 years. In light of our experiments, there is no justification for generally advising children and adolescents with limited spondylolytic spondylolisthesis not to take part in competitive sports.
为了研究多年竞技体育训练对患有脊椎滑脱症的儿童和青少年的影响，我们对86名患有椎弓根峡部裂或脊椎滑脱症的年轻运动员（24名女孩和62名年龄在6至20岁之间的男孩）进行了一项回顾性放射学和临床研究。观察开始时的平均移位程度为10.1%。放射学检查显示，33名运动员的移位随时间增加。该组脊椎滑脱症的平均进展为10.5%。在36名运动员中，脊椎滑脱症在运动训练期间没有进展。在7名运动员中，观察到移位减少，平均从17.9%降至8.9%。对于10名运动员，由于仅提供了一张侧位X线片，无法确定脊椎滑脱症的病程。尽管进行了高强度的日常训练，但运动员在平均持续4.8年的整个观察期内均无症状。根据我们的实验，没有理由普遍建议患有轻度椎弓根峡部裂性脊椎滑脱症的儿童和青少年不参加竞技体育活动。
