Athletic population with spondylolysis: review of outcomes following surgical repair or conservative management

Panteliadis, Pavlos and Nagra, Navraj S. and Edwards, Kimberley L. and Behrbalk, Eyal and Boszczyk, Bronek (2016) Athletic population with spondylolysis: review of outcomes following surgical repair or conservative management. Global Spine Journal, 6 (6). pp. 615-625. ISSN 2192-5690

[img]
Preview
PDF - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Available under Licence Creative Commons Attribution Non-commercial No Derivatives.
Download (299kB) | Preview

Abstract

Objective

The study aims to critically review the outcomes associated with the surgical repair or conservative management of spondylolysis in athletes.

Methods

The English literature listed in MEDLINE/PubMed was reviewed to identify related articles using the term “spondylolysis AND athlete.” The criteria for studies to be included were management of spondylolysis in athletes, English text, and no year, follow-up, or study design restrictions. The references of the retrieved articles were also evaluated. The primary outcome was time to return to sport. This search yielded 180 citations, and 25 publications were included in the review.

Results

Treatment methods were dichotomized as operative and nonoperative. In the nonoperative group, 390 athletes were included. A combination of bracing with physical therapy and restriction of activities was used. Conservative measures allowed athletes to return to sport in 3.7 months (weighted mean). One hundred seventy-four patients were treated surgically. The most common technique was Buck's, using a compression screw (91/174). All authors reported satisfactory outcomes. Time to return to play was 7.9 months (weighted mean). There were insufficient studies with suitably homogenous subgroups to conduct a meta-analysis.

Conclusion

There is no gold standard approach for the management of spondylolysis in the athletic population. The existing literature suggests initial therapy should be a course of conservative management with thoracolumbosacral orthosis brace, physiotherapy, and activity modification. If conservative management fails, surgical intervention should be considered. Two-sided clinical studies are needed to determine an optimal pathway for the management of athletes with spondylolysis.

Item Type: Article
Keywords: Spondylolysis in athletes, Surgical treatment, Conservative treatment
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine
Identification Number: 10.1055/s-0036-1586743
Depositing User: Eprints, Support
Date Deposited: 07 Apr 2017 12:26
Last Modified: 09 Apr 2017 04:18
URI: http://eprints.nottingham.ac.uk/id/eprint/41826

Actions (Archive Staff Only)

Edit View Edit View