Prevalence of spondylolysis in symptomatic adolescent athletes: an assessment of sport risk in nonelite athletes
Selhorst, M, et al.
Clin J Sport Med. (2018); Nov 14 [Epub ahead of print] PMID: 29140811
Most reports of sports-related spondylolysis have studied elite athletes. This four year retrospective study reviewed medical records of non-elite athletes (56% female) between 10 and 19 years of age participating in an organized sport who presented to a sports medicine department with a primary complaint of back pain. Patients without spine imaging were excluded. Over 40% of patients played more than one sport. Spondylolytic injuries occurred in 308 (30%) of 1025 patients with either frank spondylolysis or pars interarticularis stress reactions diagnosed by positive radiographs, CT, SPECT or MR images. Males were 1.5 times more likely to have spondylolysis. Bilateral injury was 37% more common than unilateral; 18% of injured patients had an associated spondylolithesis. Gender...