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Spondylolysis in active adolescents: expediting return to play
1Sports Medicine Associates PLC, Auburn Hills, MI, 48326, USA. jmoeller@sportsmedicineassociates.com.
The Physician and Sportsmedicine
|January 21, 2010
Summary
Spondylolysis, a common cause of adolescent back pain, requires prompt medical evaluation. Diagnosis involves imaging like bone scans, CT, or MRI, with treatment focusing on conservative measures for recovery and prevention.
Area of Science:
- Orthopedics
- Sports Medicine
- Adolescent Health
Background:
- Spondylolysis is a frequent cause of back pain in active adolescents.
- Many young athletes initially ignore or hope this pain will resolve without intervention.
Purpose of the Study:
- To outline the diagnostic approach for spondylolysis in adolescents presenting with persistent or severe back pain.
- To describe current conservative treatment strategies for spondylolysis.
Main Methods:
- Review of diagnostic modalities including history, physical examination, radiographs, bone scans, CT, and MRI.
- Discussion of conservative management options such as activity modification, physical therapy, and bracing.
Main Results:
- Clinical history and physical exams are suggestive but not definitive for spondylolysis.
- Advanced imaging (bone scan, CT, MRI) is crucial for determining lesion activity and extent.
- Conservative therapy effectively manages pain and facilitates return to activity.
Conclusions:
- Early and thorough diagnostic work-up is essential for adolescent spondylolysis.
- Conservative treatment is the mainstay for managing spondylolysis, aiming for pain relief, functional recovery, and recurrence prevention.
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