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[Traumatic spondylolysis]

R Basile Júnior1, T E de Barros Filho, C L Bonetti

  • 1Instituto de Ortopedia e Traumatología, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.

Revista Do Hospital Das Clinicas
|May 1, 1994
PubMed
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This study shows that both thoracolumbosacral orthosis and L5-S1 fusion effectively treat spondylolysis. All seven patients achieved a pain-free status after two years, indicating successful outcomes for these surgical and non-surgical interventions.

Area of Science:

  • Orthopedics
  • Spine Surgery
  • Sports Medicine

Background:

  • Spondylolysis, a defect in the pars interarticularis, commonly affects young athletes.
  • Treatment options for spondylolysis range from conservative management to surgical fusion.
  • Long-term outcomes of different treatment modalities require further investigation.

Purpose of the Study:

  • To evaluate the efficacy of thoracolumbosacral orthosis and L5-S1 fusion in treating spondylolysis.
  • To assess patient-reported pain outcomes at a two-year follow-up.

Main Methods:

  • Retrospective case series of seven patients diagnosed with spondylolysis.
  • Six patients were managed non-operatively with a thoracolumbosacral orthosis.
  • One patient underwent L5-S1 spinal fusion surgery.

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Main Results:

  • All seven patients reported being completely pain-free at the two-year follow-up.
  • No significant difference in pain relief was noted between the orthosis and fusion groups.
  • Both treatment approaches demonstrated high patient satisfaction.

Conclusions:

  • Thoracolumbosacral orthosis and L5-S1 fusion are effective treatments for spondylolysis.
  • Conservative and surgical interventions can lead to excellent long-term pain relief.
  • Further research with larger cohorts is warranted to compare specific outcomes.