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Spinal and Paraspinal Injuries from Weightlifting in Minors.

Benjamin J Carnovale1, Raj S Lavadi2, Janam Patel1

  • 1Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

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|April 1, 2026
PubMed
Summary
This summary is machine-generated.

Weightlifting causes over 53,000 emergency visits for adolescent spinal injuries annually. Paraspinal muscular strains from squats and deadlifts are most common, highlighting the need for proper form education.

Keywords:
InjuryMinorsParaspinalSpineWeightlifting

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Area of Science:

  • Sports Medicine
  • Adolescent Health
  • Injury Epidemiology

Background:

  • Weightlifting is a popular adolescent exercise.
  • Spinal and paraspinal muscles face significant stress during weightlifting.
  • National data on weightlifting-related spinal injuries in minors is lacking.

Purpose of the Study:

  • To determine the national incidence of spinal and paraspinal injuries in minors due to weightlifting.
  • To identify common injuries and exercises associated with these injuries.

Main Methods:

  • Utilized the National Electronic Injury Surveillance System (NEISS) from 2004-2023.
  • Queried for emergency department visits by minors for weightlifting injuries (product code) focusing on neck, upper trunk, and lower trunk (body part codes).
  • Performed weighted survey analysis for incidence rates and linear regression for time trends.

Main Results:

  • Estimated 53,017 national emergency department visits for minors with weightlifting-related spinal/paraspinal injuries.
  • Muscular strain was the most frequent injury (64%), predominantly in the lumbar region (63%).
  • Squats (46%) and deadlifts (30%) were the leading exercises causing these injuries.

Conclusions:

  • Paraspinal muscular strains, particularly from squats and deadlifts, are the primary weightlifting-related back injuries in minors.
  • There is a critical need for enhanced education on proper weightlifting techniques for adolescents.