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Lumbosacral Spondylolysis and Spondylolisthesis.
- Source :
-
Clinics in sports medicine [Clin Sports Med] 2021 Jul; Vol. 40 (3), pp. 471-490. - Publication Year :
- 2021
-
Abstract
- Repetitive stress on the lumbosacral spine during sporting activity places the athletic patient at risk of developing symptomatic pars defect. Clinical history, physical examination, and diagnostic imaging are important to distinguish spondylolysis from other causes of lower back pain. Early pars stress reaction can be identified with advanced imaging, before the development of cortical fracture or vertebral slip progression to spondylolisthesis. Conservative management is first-line for low-grade injury with surgical intervention indicated for refractory symptoms, severe spondylolisthesis, or considerable neurologic deficit. Prompt diagnosis and management of spondylolysis leads to good outcomes and return to competition for most athletes.<br />Competing Interests: Disclosure CC, no funding sources or disclosures. AS, Medtronic: consulting; Nuvasive: consulting and royalties.<br /> (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Subjects :
- Athletic Injuries diagnostic imaging
Conservative Treatment
Diagnosis, Differential
Humans
Low Back Pain etiology
Lumbar Vertebrae diagnostic imaging
Medical History Taking
Physical Examination
Return to Sport
Spondylolisthesis diagnostic imaging
Spondylolysis diagnostic imaging
Athletic Injuries diagnosis
Athletic Injuries therapy
Lumbar Vertebrae injuries
Spondylolisthesis diagnosis
Spondylolisthesis therapy
Spondylolysis diagnosis
Spondylolysis therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1556-228X
- Volume :
- 40
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Clinics in sports medicine
- Publication Type :
- Academic Journal
- Accession number :
- 34051941
- Full Text :
- https://doi.org/10.1016/j.csm.2021.03.004