As sports medicine physiatrists who routinely treat acute and chronic lumbar spondylolysis in adolescent athletes, we read the article by Choi et al. [
] with great interest. We were impressed by this large case series and commend the authors for publishing their work since it moves us closer to answering important clinical questions in this population. In this study, the methods reflect many standards of care in adolescent athletes, including competitive sports cessation, bracing considerations, physical therapy and a gradual return to sports after 12 weeks of care. Points of discussion or contention include the routine use of bone stimulators, the use of custom thoracolumbosacral orthoses worn 23 hours/day for 3 months, and the use of lumbar facet joint injections for treating refractory symptoms or specific imaging findings on initial magnetic resonance imaging (MRI).
- Choi JH
- Ochoa JK
- Lubinus A
- Timon S
- Lee YP
- Bhatia NN.
Management of lumbar spondylolysis in the adolescent athlete: a review of over 200 cases.
Spine J. 2022; 22: 1628-1633https://doi.org/10.1016/j.spinee.2022.04.011
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to The Spine Journal
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Management of lumbar spondylolysis in the adolescent athlete: a review of over 200 cases.Spine J. 2022; 22: 1628-1633https://doi.org/10.1016/j.spinee.2022.04.011
- Conservative treatment for bony healing in pediatric lumbar spondylolysis.Spine (Phila Pa 1976). 2017; 42: E716-Ee20https://doi.org/10.1097/BRS.0000000000001931
- Conservative treatment of lumbar spondylolysis in childhood and adolescence: the radiological signs which predict healing.J Bone Joint Surg Br. 2009; 91: 206-209https://doi.org/10.1302/0301-620X.91B2.21256
- Elastic lumbar support versus rigid thoracolumbar orthosis for acute pediatric spondylolysis. a prospective controlled study.Spine (Phila Pa 1976). 2022; 48: 89-96https://doi.org/10.1097/BRS.0000000000004424
- Athletic population with spondylolysis: review of outcomes following surgical repair or conservative management.Global Spine J. 2016; 6: 615-625https://doi.org/10.1055/s-0036-1586743
- Nonoperative treatment of spondylolysis and grade I spondylolisthesis in children and young adults: a meta-analysis of observational studies.J Pediatr Orthop. 2009; 29: 146-156https://doi.org/10.1097/BPO.0b013e3181977fc5
- Outcome of conservative management in the treatment of symptomatic spondylolysis and grade i spondylolisthesis.Bull Hosp Jt Dis. 2019; 77: 172-182
Published online: February 19, 2023
Accepted: February 13, 2023
Received: October 24, 2022
FDA device/drug status: Not applicable.
Author disclosures: JW: Nothing to disclose. EC: Nothing to disclose. PM: Nothing to disclose. JC: Nothing to disclose.
© 2023 Elsevier Inc. All rights reserved.