ArticleGlobal spine journal2016
Athletic Population with Spondylolysis: Review of Outcomes following Surgical Repair or Conservative Management.
Article in Global spine journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The trial behind it
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Who cites it
8 citing papers in PubMed, 25 citations in OpenAlex.
- Rest Before Physical Therapy Is Not Necessary to Achieve Bony Healing of Lumbar Spondylolysis in Adolescent Athletes.Orthopaedic journal of sports medicine · 2026Article
- A Review of Treatment for Acute and Chronic Pars Fractures in the Lumbar Spine.Current reviews in musculoskeletal medicine · 2022Review
- Surgical repair of lumbar stress fractures in professional cricketers .Journal of spine surgery (Hong Kong) · 2021Article
- Inter-Disciplinary Conservative Management of Bilateral Non-United Lumbar Pars Defects in a Junior Elite Golfer.International journal of sports physical therapy · 2021Article
- Return to play after spondylolysis: An overview.Medical journal, Armed Forces India · 2021Review
- Adolescents with spondylolysis have lower SRS-22 scores than controls and peers with pre-operative idiopathic scoliosis.Spine deformity · 2021Observational
- The Incidence of Pars Interarticularis Defects in Athletes.Global spine journal · 2020Review
- Symptomatic stress reaction of the humerus in a professional cricketer.BMJ case reports · 2019Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designNarrative review.
objectiveThe study aims to critically review the outcomes associated with the surgical repair or conservative management of spondylolysis in athletes.
methodsThe 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.
resultsTreatment 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.
conclusionThere 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.