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Spondylolysis and Spondylolisthesis in Athletes

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Spinal Conditions in the Athlete

Abstract

Lumbar spondylolysis is the most common pathology identified in adolescents with chronic back pain. A key component to the diagnosis and treatment of lumbar spondylolysis in our practice relies on CT stage classification. It is predictive of fracture union and yields important information about the pain mechanism. This in turn drives treatment. Early defects are best found on MRI with assessment for edema in the adjacent pars. Slippage is the long-term sequela to be avoided. Evidence has shown that the immature spine is more prone to slippage, and therefore routine surveillance is required. Before return to play, the athlete must complete a comprehensive rehabilitation protocol.

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Author information

Authors and Affiliations

  1. Department of Orthopedics, Tokushima University, Tokushima, Japan

    Koichi Sairyo, Fumitake Tezuka & Hiroaki Manabe

  2. Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan

    Toshinori Sakai & Yoichiro Takata

  3. Department of Orthopaedics, Tokushima University Hospital, Tokushima, Japan

    Kazuta Yamashita

Authors
  1. Koichi Sairyo
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  2. Toshinori Sakai
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  3. Yoichiro Takata
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  4. Kazuta Yamashita
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  5. Fumitake Tezuka
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  6. Hiroaki Manabe
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Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Northwestern University, Chicago, IL, USA

    Wellington K. Hsu

  2. Columbia Orthopedic Group, Columbia, MO, USA

    Tyler J. Jenkins

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Sairyo, K., Sakai, T., Takata, Y., Yamashita, K., Tezuka, F., Manabe, H. (2020). Spondylolysis and Spondylolisthesis in Athletes. In: Hsu, W., Jenkins, T. (eds) Spinal Conditions in the Athlete. Springer, Cham. https://doi.org/10.1007/978-3-030-26207-5_17

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  • DOI: https://doi.org/10.1007/978-3-030-26207-5_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26206-8

  • Online ISBN: 978-3-030-26207-5

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