Prevalence of curable and pseudoarthrosis stages of adolescent lumbar spondylolysis

Masaki Tatsumura; Hisanori Gamada; Ryu Ishimoto; Shun Okuwaki; Fumihiko Eto; Takeshi Ogawa; Takeo Mammoto; Atsushi Hirano

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Prevalence of curable and pseudoarthrosis stages of adolescent lumbar spondylolysis

VernacularTitle:Prevalence of curable and pseudoarthrosis stages of adolescent lumbar spondylolysis
Author: Masaki TATSUMURA ¹ ; Hisanori GAMADA ¹ ; Ryu ISHIMOTO ¹ ; Shun OKUWAKI ¹ ; Fumihiko ETO ¹ ; Takeshi OGAWA ¹ ; Takeo MAMMOTO ¹ ; Atsushi HIRANO ¹
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1. Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan
Keywords: adolescent; lumbar spondylolysis; stage; pseudoarthrosis
From:Journal of Rural Medicine 2018;13(2):105-109
CountryJapan
Language:English
Abstract: Objective: The aim of this study was to determine the prevalence of curable and pseudoarthrosis stages of adolescent lumbar spondylolysis under high school students complaining of and seeking medical consultation for low back pain.Patients and Methods: We analyzed age, sex, morbidity, presence of spina bifida occulta (SBO), and competitive sport discipline of patients with lumbar spondylolysis. We then stratified their pathological stage using a modified classification system via magnetic resonance imaging and computed tomography.Results: Of 507 patients, 451 lesions in 268 patients were diagnosed with lumbar spondylolysis (average age, 14.7 years; sex ratio, 215:53 male/female). Morbidity levels were as follows: L1, 1 lesion in 1 patient; L2, 9 lesions in 5 patients; L3, 38 lesions in 25 patients; L4, 106 lesions in 74 patients; L5, 297 lesions in 189 patients, and SBO verified in 111 patients. A total of 264 patients played a specific sport: baseball, 93; soccer, 49; volleyball, 21; track and field, 21; basketball, 20; others, 164. The prevalence of curable- and pseudoarthrosis-stage lumbar spondylolysis was 206 lesions in 142 patients, and 141 lesions in 87 patients, respectively.Conclusion: With 59.3% of patients having curable-stage lumbar spondylolysis, adolescent athletes with low back pain are urged to seek consultation. Furthermore, clinicians should perform magnetic resonance imaging to avoid misdiagnosis.