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Lumbar Spine Injuries in the Athlete
1Research Coordinator, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
Summary
Low back pain is a common issue in adults and rising in adolescents, especially athletes. Most cases resolve with non-surgical treatment, but persistent symptoms may necessitate surgery.
Area of Science:
- Orthopedics
- Sports Medicine
- Primary Care
Background:
- Low back pain is the most frequent complaint in adult primary care.
- Adolescent low back pain incidence is increasing, particularly in athletic populations.
Purpose of the Study:
- To review common causes of low back pain in adolescent and adult athletes.
- To outline current non-surgical and surgical management strategies.
Main Methods:
- Literature review of common low back pain etiologies in athletes.
- Summary of nonsurgical and surgical treatment approaches.
Main Results:
- Adolescent athletes commonly experience spondylolysis, spondylolisthesis, mechanical low back pain, and herniated discs.
- Adult athletes frequently suffer from lumbosacral strain and degenerative or herniated discs.
- Nonsurgical management focuses on reducing inflammation and strengthening tissues.
Conclusions:
- Most athletes with low back pain can return to sport after conservative treatment.
- Surgery is reserved for cases with persistent or progressive neurological deficits.

