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
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キーワード | conservative treatment
spondylolysis
tight hamstring
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資料タイプ |
学術雑誌論文
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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.
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掲載誌名 |
The Journal of Medical Investigation
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ISSN | 13496867
13431420
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cat書誌ID | AA11166929
AA12022913
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出版者 | Faculty of Medicine Tokushima University
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巻 | 65
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号 | 1-2
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開始ページ | 126
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終了ページ | 130
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並び順 | 126
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発行日 | 2018-02
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出版社版DOI | |
出版社版URL | |
フルテキストファイル | |
言語 |
eng
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著者版フラグ |
出版社版
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