アクセス数 : ?
ダウンロード数 : ?
ID 111445
著者
Yamazaki, Kazufumi Kikugawa municipal General Hospital
Kota, Shintaro Kikugawa municipal General Hospital
Oikawa, Daisuke Kikugawa municipal General Hospital
Suzuki, Yoshiji Kikugawa municipal General Hospital
キーワード
conservative treatment
spondylolysis
tight hamstring
資料タイプ
学術雑誌論文
抄録
Purpose : To identify predisposition to spondylolysis and physical characteristics associated with “bone union” following conservative spondylolysis treatment among pediatric and adolescent athletes. Methods : We retrospectively analyzed pediatric and adolescent athletes with spondylolysis who underwent conservative treatment and rehabilitation for three or more consecutive months following sports activity cessation. Patients with terminal spondylolysis or who did not discontinue sports activities were excluded. We compared physical fitness factors in the union and nonunion groups and examined the association between bone union and spondylolysis severity by logistic regression analysis. Results : Of 183 patients with spondylolysis who underwent rehabilitation over a four-year period, 127 patients with 227 defects were included in the final analysis. Bone union was achieved in 66.5% (151/227) of the pars interarticularis defects and 70.1% (89/127) of the patients. On multivariate analysis, stage of pars interarticularis defect (odds ratio [OR], 0.26 ; p = 0.0027), stage of contralateral pars interarticularis defect (OR, 0.51 ; p = 0.00026), and straight leg-raising test (OR, 1.06 ; p = 0.028) were significantly associated with bone union. Conclusions : High defect stage, stage of the contralateral pars interarticularis defect, and poor flexibility were negative prognostic factors of bone healing in athletes with spondylolysis.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
AA12022913
出版者
Faculty of Medicine Tokushima University
65
1-2
開始ページ
126
終了ページ
130
並び順
126
発行日
2018-02
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版