ArticleOrthopaedic journal of sports medicine2026
Physical Factors Associated With Stage Progression of Lumbar Spondylolysis: A Prospective Cohort Study in Male Adolescent Soccer Players.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Lumbar spondylolysis (LS) has distinct pathologic stages, and worsening LS can cause poor bone union and low back pain. However, the risk factors involved in LS pathogenesis remain unclear. Purpose: To identify risk factors associated with the pathologic progression of LS at the L5 in adolescent male soccer players. Study Design: Case-control study; Level of evidence, 3. Methods: A total of 189 male adolescent soccer players aged 12 to 14 years were recruited. We used lumbar magnetic resonance imaging (MRI) to examine adolescent soccer players' lumbar lordosis (LL), sacral slope (SS), sacral rotation angle, maturity stage of the lumbar vertebral bodies, and bone marrow edema (BMO) at L5. In addition, whole-body dual-energy x-ray scans measured bone mineral density and content as well as trunk lean body mass. Moreover, we tested the flexibility of the iliopsoas, hamstrings, and quadriceps, as well as evaluated the range of motion (ROM) of the hip in both external and internal rotation. LS stages were determined using computed tomography (CT)-like and short-tau inversion recovery (STIR) modes. The change over the 6-month period was the main outcome; participants were classified as "worsened,""improved," or "no change." The worsened group was defined by a pathological progression on CT-like mode or new BMO appearance on STIR mode without CT-like change. Multiple logistic regression analysis was then performed to identify risk factors for the pathologic progression of LS. Results: Of the 163 players analyzed, 47 (28.5%) showed LS progression. BMO (odds ratio [OR], 5.54; 95% CI, 2.23-13.76), SS relative to LL (OR, 5.58; 95% CI, 2.32-13.51), sacral rotation angle ≤-1.5 or ≥1.5 (OR, 5.74; 95% CI, 2.36-13.96), and hip external rotation ROM (OR, 4.30; 95% CI, 1.67-11.06) were significantly associated with the pathologic progression of LS. Conclusion: Our study demonstrated that the risk factors for LS progression in male adolescent soccer players include BMO, sacral anteversion relative to LL, sacral rotation, and restricted hip external rotation ROM. Early BMO detection and sacral malalignment improvement may prevent pathologic LS progression in male adolescent soccer players.
Indexed as
Identifiers
What OpenQuestion holds
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.