Journal of Spine Research
Online ISSN : 2435-1563
Print ISSN : 1884-7137
Original Article
Prognostic study of lumbar spondylolysis in adolescents -Survey of back pain recurrence rate by questionnaire-
Yuriko TsukamotoYuji KubotaKoshiro OkachiAyano MitsuhashiToshifumi NakamuraSumihisa OritaSeiji OhtoriAtsushi Terakado
Author information
JOURNAL FREE ACCESS

2021 Volume 12 Issue 6 Pages 887-893

Details
Abstract

Introduction: Lumbar spondylolysis refers to a stress fracture that is commonly observed in adolescents involved with sports activities. Early diagnosis and treatment result in satisfactory healing in many patients. Although recurrence is known to occur in a few cases, accurate data regarding recurrence rates remain unknown. In this study, we investigated the prognosis of post-recovery lumbar spondylolysis in adolescents.

Methods: A total of 108 patients under the age of 18 years who were diagnosed with lumbar spondylolysis and had bone fusion were included in the study. A post-treatment questionnaire was administered by telephone and paper.

Results: We received a response from 64 of 108 patients (response rate 59%). Recurrent low back pain (LBP) occurred in 28 of 64 (44%) patients. The recurrence of low back pain tended to be more common in females, L3 by height of lumbar spondylolysis, "fresh/old" by morbidity type, and advanced stage by CT classification, but there was no significant difference. MRI and CT were performed on 11 patients who had recurrent low back pain, and recurrence of lumbar spondylolysis was found in 3 patients (27%).

Conclusions: We conducted a questionnaire-based prognostic survey of patients with lumbar spondylolysis who had bone fusion and found that 44% had recurrent back pain. Of these, recurrence of lumbar spondylolysis was observed in 27% of patients who visited our clinic.

Fullsize Image
Content from these authors
© 2021 Journal of Spine Research
Previous article Next article
feedback
Top