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首页> 外文期刊>Current sports medicine reports. >Surgical management of spondylolysis and spondylolisthesis in athletes: indications and return to play.
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Surgical management of spondylolysis and spondylolisthesis in athletes: indications and return to play.

机译：运动员腰椎间盘突出症和腰椎滑脱的手术管理：适应症和重返比赛状态。

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摘要

Symptomatic isthmic spondylolisthesis is a common problem in the competitive athlete. Presence of this disorder is recognized easily with imaging studies, although a certain index of suspicion is necessary in the face of normal x-rays. Bone scan, CT scan, and MRI may all play a role in diagnosis. Management of this condition, on the other hand, can be more challenging. There are no high level evidence studies with specific recommendations for bracing, rehab, or surgery. Most athletes successfully return to competition with nonoperative treatment. For those that fail, a pars repair or a fusion are potential options. There are a myriad of techniques advocated for both, and no head to head study has ever proven superiority. Even with fusion, many individuals can return to sports after several months of structured rehab, although a significant number of athletes will fail to resume their pre-injury level of activity.
机译：有症状的峡部脊柱滑脱是竞技运动员中的常见问题。尽管需要面对正常的X射线一定程度的怀疑，但影像学检查很容易识别出这种疾病的存在。骨扫描，CT扫描和MRI都可能在诊断中起作用。另一方面，管理这种情况可能更具挑战性。没有高水平的证据研究对支撑，修复或手术提出具体建议。大多数运动员通过非手术治疗成功返回比赛。对于那些失败的应用程序，pars修复或融合是潜在的选择。两者都倡导无数的技术，而且从未有过正面的研究证明有优势。即使进行融合，许多人也可以在经过几个月的结构性康复后恢复运动，尽管许多运动员将无法恢复受伤前的活动水平。

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