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Lumbar Spine Injuries

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The Adolescent Athlete

Part of the book series: Contemporary Pediatric and Adolescent Sports Medicine ((PASM))

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Abstract

Low back pain affects many young athletes, with certain sports posing a particularly high risk. Although low back pain occurs across the age spectrum, the etiology in young athletes differs greatly from that in adults. This difference may be attributed to anatomic factors such as the presence of growth cartilage in the vertebrae or age-related changes in the discs. Many factors including intensity of training and type of physical activity help determine the patterns of injury seen in young athletes. Younger athletes with low back pain are more likely to have associated structural pathology, so “lumbar strain” should only be considered as a diagnosis of exclusion. Symptoms such as fever, weight loss, morning stiffness, and night pain may be associated with more serious pathology. Finally, there are many diagnostic imaging modalities available for the investigation of low back pain. When more advanced imaging modalities are required, every effort should be made to limit exposure to radiation in young athletes. Investigations with little or no ionizing radiation such as MRI are preferable.

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Authors and Affiliations

  1. Department of Pediatric Sport and Exercise Medicine, Winnipeg Children’s Hospital, Winnipeg, MB, Canada

    Merrilee Zetaruk MD, FRCPC

  2. Faculty of Medicine, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada

    Merrilee Zetaruk MD, FRCPC

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  1. Merrilee Zetaruk MD, FRCPC
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Editors and Affiliations

  1. Division of Sports Medicine, Boston Children’s Hospital, Boston, MA, USA

    Lyle J. Micheli

  2. Department of Pediatrics, McMaster University, Hamilton, ON, Canada

    Laura Purcell

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Zetaruk, M. (2018). Lumbar Spine Injuries. In: Micheli, L., Purcell, L. (eds) The Adolescent Athlete. Contemporary Pediatric and Adolescent Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-56188-2_6

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