Incidence of lumbar spondylolysis in athletes with low back pain: A systematic evaluation and single-arm meta-analysis

BACKGROUNDLow back pain (LBP) is a common chief complaint from athletes. Lumbar spondylolysis (LS) is a common sport injury. Severe LS is likely to cause spinal instability, resulting in lumbar spondylolisthesis or lumbar disc herniation, and even damage to the spinal nerve roots. The incidence of L...

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Veröffentlicht in:Medicine (Baltimore) 2023-09, Vol.102 (38), p.e34857-e34857
Hauptverfasser: Li, Jingyuan, Liang, Jinlong, Xu, Yongqing, Du, Di, Feng, Fanzhe, Shen, Junhong, Cui, Yi
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container_issue 38
container_start_page e34857
container_title Medicine (Baltimore)
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creator Li, Jingyuan
Liang, Jinlong
Xu, Yongqing
Du, Di
Feng, Fanzhe
Shen, Junhong
Cui, Yi
description BACKGROUNDLow back pain (LBP) is a common chief complaint from athletes. Lumbar spondylolysis (LS) is a common sport injury. Severe LS is likely to cause spinal instability, resulting in lumbar spondylolisthesis or lumbar disc herniation, and even damage to the spinal nerve roots. The incidence of LS is approximately 5% in the adult population, and nearly half of young athletes with LBP are diagnosed with LS. This meta-analysis analyzed the incidence of LS in athletes with LBP. METHODSPubMed, Embase, Cochrane (Cochrane Central Register of Controlled Trials), and Web of Science databases were systematically searched for published case report and retrospective analyses related to the topic from the date of database creation to January 1,2023. Relevant literature was screened and information extracted, and risk of bias was assessed for included studies using the methodological index for non-randomized-studies scale. Single-arm Meta-analysis was performed using R4.04 software. Heterogeneity was quantified by Cochran Q test and Higgins I2. Funnel plots were used to visualize publication bias, and Egger test and Begg test were used to statistical tests. RESULTSA total of 9 studies (835 patients) were included in this study. Meta-analysis revealed that the prevalence of LS in athletes with LBP was estimated at 41.7%, [95% CI = (0.28-0.55)], but this prevalence varied considerably with the gender and age of the athletes. CONCLUSIONThe estimated prevalence of LS in athletes with LBP is 41.7%, and future correlations between the prevalence of LS in adolescent athletes worldwide need to be assessed from different perspectives, including biomechanical, hormonal, anatomical, behavioral, and gender differences.
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Lumbar spondylolysis (LS) is a common sport injury. Severe LS is likely to cause spinal instability, resulting in lumbar spondylolisthesis or lumbar disc herniation, and even damage to the spinal nerve roots. The incidence of LS is approximately 5% in the adult population, and nearly half of young athletes with LBP are diagnosed with LS. This meta-analysis analyzed the incidence of LS in athletes with LBP. METHODSPubMed, Embase, Cochrane (Cochrane Central Register of Controlled Trials), and Web of Science databases were systematically searched for published case report and retrospective analyses related to the topic from the date of database creation to January 1,2023. Relevant literature was screened and information extracted, and risk of bias was assessed for included studies using the methodological index for non-randomized-studies scale. Single-arm Meta-analysis was performed using R4.04 software. Heterogeneity was quantified by Cochran Q test and Higgins I2. Funnel plots were used to visualize publication bias, and Egger test and Begg test were used to statistical tests. RESULTSA total of 9 studies (835 patients) were included in this study. Meta-analysis revealed that the prevalence of LS in athletes with LBP was estimated at 41.7%, [95% CI = (0.28-0.55)], but this prevalence varied considerably with the gender and age of the athletes. CONCLUSIONThe estimated prevalence of LS in athletes with LBP is 41.7%, and future correlations between the prevalence of LS in adolescent athletes worldwide need to be assessed from different perspectives, including biomechanical, hormonal, anatomical, behavioral, and gender differences.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000034857</identifier><identifier>PMID: 37747004</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>Systematic Review and Meta-Analysis</subject><ispartof>Medicine (Baltimore), 2023-09, Vol.102 (38), p.e34857-e34857</ispartof><rights>Copyright © 2023 the Author(s). 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Lumbar spondylolysis (LS) is a common sport injury. Severe LS is likely to cause spinal instability, resulting in lumbar spondylolisthesis or lumbar disc herniation, and even damage to the spinal nerve roots. The incidence of LS is approximately 5% in the adult population, and nearly half of young athletes with LBP are diagnosed with LS. This meta-analysis analyzed the incidence of LS in athletes with LBP. METHODSPubMed, Embase, Cochrane (Cochrane Central Register of Controlled Trials), and Web of Science databases were systematically searched for published case report and retrospective analyses related to the topic from the date of database creation to January 1,2023. Relevant literature was screened and information extracted, and risk of bias was assessed for included studies using the methodological index for non-randomized-studies scale. Single-arm Meta-analysis was performed using R4.04 software. Heterogeneity was quantified by Cochran Q test and Higgins I2. Funnel plots were used to visualize publication bias, and Egger test and Begg test were used to statistical tests. RESULTSA total of 9 studies (835 patients) were included in this study. Meta-analysis revealed that the prevalence of LS in athletes with LBP was estimated at 41.7%, [95% CI = (0.28-0.55)], but this prevalence varied considerably with the gender and age of the athletes. CONCLUSIONThe estimated prevalence of LS in athletes with LBP is 41.7%, and future correlations between the prevalence of LS in adolescent athletes worldwide need to be assessed from different perspectives, including biomechanical, hormonal, anatomical, behavioral, and gender differences.</description><subject>Systematic Review and Meta-Analysis</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpdkUtP3TAQha2qqFwev4CNl2wCftvpBiFeRQKxadeW40y4po59GzsX3X_ftKBW7WxmdObMN4uD0AklZ5S0-vzx-oz8LS6M1B_QikquGtkq8RGtCGGy0a0W--iglBdCKNdMfEL7XGuhCRErtL1PPvSQPOA84DiPnZtw2eTU72KOuxIKDgm7uo5QoeDXUNc45lfcOf8db1xIn_ElLrtSYXQ1eAxbF-dlystR6nEJ6TlC46YRj1Bd45L7DT1Ce4OLBY7f-yH6dnvz9epL8_B0d391-dB4bnhtXCd6Aox65TrTsVYNw6K3A-vYwJgxGoziXNEBhBaSkF4ykH0Hi4kTbgg_RBdv3M3cjdB7SHVy0W6mMLppZ7ML9t9NCmv7nLeWEklbIdVCOH0nTPnHDKXaMRQPMboEeS6WGWWUag2Ti5W_Wf2US5lg-POHEvsrMvt4bf-PjP8Er4KJ_w</recordid><startdate>20230922</startdate><enddate>20230922</enddate><creator>Li, Jingyuan</creator><creator>Liang, Jinlong</creator><creator>Xu, Yongqing</creator><creator>Du, Di</creator><creator>Feng, Fanzhe</creator><creator>Shen, Junhong</creator><creator>Cui, Yi</creator><general>Lippincott Williams &amp; Wilkins</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230922</creationdate><title>Incidence of lumbar spondylolysis in athletes with low back pain: A systematic evaluation and single-arm meta-analysis</title><author>Li, Jingyuan ; Liang, Jinlong ; Xu, Yongqing ; Du, Di ; Feng, Fanzhe ; Shen, Junhong ; Cui, Yi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-ab4d0e21c6ab8b296ff3839f2b2f22887e863361fe474500d52e5dbe383303803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Systematic Review and Meta-Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Jingyuan</creatorcontrib><creatorcontrib>Liang, Jinlong</creatorcontrib><creatorcontrib>Xu, Yongqing</creatorcontrib><creatorcontrib>Du, Di</creatorcontrib><creatorcontrib>Feng, Fanzhe</creatorcontrib><creatorcontrib>Shen, Junhong</creatorcontrib><creatorcontrib>Cui, Yi</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Jingyuan</au><au>Liang, Jinlong</au><au>Xu, Yongqing</au><au>Du, Di</au><au>Feng, Fanzhe</au><au>Shen, Junhong</au><au>Cui, Yi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of lumbar spondylolysis in athletes with low back pain: A systematic evaluation and single-arm meta-analysis</atitle><jtitle>Medicine (Baltimore)</jtitle><date>2023-09-22</date><risdate>2023</risdate><volume>102</volume><issue>38</issue><spage>e34857</spage><epage>e34857</epage><pages>e34857-e34857</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>BACKGROUNDLow back pain (LBP) is a common chief complaint from athletes. Lumbar spondylolysis (LS) is a common sport injury. Severe LS is likely to cause spinal instability, resulting in lumbar spondylolisthesis or lumbar disc herniation, and even damage to the spinal nerve roots. The incidence of LS is approximately 5% in the adult population, and nearly half of young athletes with LBP are diagnosed with LS. This meta-analysis analyzed the incidence of LS in athletes with LBP. METHODSPubMed, Embase, Cochrane (Cochrane Central Register of Controlled Trials), and Web of Science databases were systematically searched for published case report and retrospective analyses related to the topic from the date of database creation to January 1,2023. Relevant literature was screened and information extracted, and risk of bias was assessed for included studies using the methodological index for non-randomized-studies scale. Single-arm Meta-analysis was performed using R4.04 software. Heterogeneity was quantified by Cochran Q test and Higgins I2. Funnel plots were used to visualize publication bias, and Egger test and Begg test were used to statistical tests. RESULTSA total of 9 studies (835 patients) were included in this study. Meta-analysis revealed that the prevalence of LS in athletes with LBP was estimated at 41.7%, [95% CI = (0.28-0.55)], but this prevalence varied considerably with the gender and age of the athletes. CONCLUSIONThe estimated prevalence of LS in athletes with LBP is 41.7%, and future correlations between the prevalence of LS in adolescent athletes worldwide need to be assessed from different perspectives, including biomechanical, hormonal, anatomical, behavioral, and gender differences.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>37747004</pmid><doi>10.1097/MD.0000000000034857</doi><oa>free_for_read</oa></addata></record>
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subjects Systematic Review and Meta-Analysis
title Incidence of lumbar spondylolysis in athletes with low back pain: A systematic evaluation and single-arm meta-analysis
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