PDF(Pubmed)
Abstract：
OBJECTIVE: Understanding the management of lumbar spinal fractures and return to play (RTP) criteria is an essential component of care for adult athletes. Appropriate management of lumbar spinal fractures must balance minimizing time away from physical activity while also minimizing risk of reinjury. The purpose of this review is to summarize current recommendations on lumbar spinal fracture management and RTP guidelines and to provide expert opinion on areas of discrepancy in the field.
RESULTS: There is a paucity of high-level evidence on the management and return to play criteria for adult lumbar spine fractures in athletes. Much of the data and recommendations are based on expert opinion and studies in pediatric or osteoporotic patients, which may not be applicable to adult athletes. These data presented here may be used to aid patient-physician conversations and provide guidance on expectations for patients, coaches, and athletic trainers. In general, we recommend that patients be free of lumbar pain, neurologically intact, and have full strength and motion of the lumbar spine and lower extremities before returning to play. Adequate protective equipment is recommended to be worn at all times during practice and play.
RESULTS: There is a paucity of high-level evidence on the management and return to play criteria for adult lumbar spine fractures in athletes. Much of the data and recommendations are based on expert opinion and studies in pediatric or osteoporotic patients, which may not be applicable to adult athletes. These data presented here may be used to aid patient-physician conversations and provide guidance on expectations for patients, coaches, and athletic trainers. In general, we recommend that patients be free of lumbar pain, neurologically intact, and have full strength and motion of the lumbar spine and lower extremities before returning to play. Adequate protective equipment is recommended to be worn at all times during practice and play.
摘要：
目的：了解腰椎骨折的处理和恢复比赛（RTP）标准是成年运动员护理的重要组成部分。腰椎骨折的适当管理必须平衡最大限度地减少远离身体活动的时间，同时也最大限度地减少再损伤的风险。这篇综述的目的是总结当前有关腰椎骨折治疗和RTP指南的建议，并就该领域的差异领域提供专家意见。
结果：缺乏关于运动员成人腰椎骨折的治疗和恢复比赛标准的高水平证据。大部分的数据和建议是基于专家的意见和研究在儿科或骨质疏松患者，这可能不适用于成年运动员。这里提供的这些数据可用于帮助患者与医生的对话，并为患者的期望提供指导。教练，和运动教练。总的来说,我们建议患者不要腰痛，神经系统完好无损，并在返回游戏之前具有腰椎和下肢的全部力量和运动。建议在练习和玩耍期间始终佩戴足够的防护装备。
结果：缺乏关于运动员成人腰椎骨折的治疗和恢复比赛标准的高水平证据。大部分的数据和建议是基于专家的意见和研究在儿科或骨质疏松患者，这可能不适用于成年运动员。这里提供的这些数据可用于帮助患者与医生的对话，并为患者的期望提供指导。教练，和运动教练。总的来说,我们建议患者不要腰痛，神经系统完好无损，并在返回游戏之前具有腰椎和下肢的全部力量和运动。建议在练习和玩耍期间始终佩戴足够的防护装备。
