Abstract：
OBJECTIVE: To assess the national and regional trend in the prevalence of lumbar spondylolysis and isthmic spondylolisthesis for adolescent males in South Korea from 2015 to 2022.
METHODS: A total of 2,666,277 Korean adolescent males were routinely examined at regional Military Manpower Administration offices. The data gathered from Military Manpower Administration were retrospectively collected to measure the prevalence and 95% confidence interval of lumbar spondylolysis and isthmic spondylolisthesis according to the year and region in South Korea. The Spearman correlation analysis was performed to assess the correlation between lumbar spondylolysis, isthmic spondylolisthesis, and several factors including height, weight, current smoking rate, and occasional and high-risk alcohol consumption.
RESULTS: The prevalence of spondylolysis per 10,000 individuals showed a gradual increasing trend from 2015 to 2022 On the contrary, the prevalence of isthmic spondylolisthesis per 10,000 individuals decreased over a consecutive 8-year period. There were no statistical differences in the prevalence of spondylolysis and isthmic spondylolisthesis between Greater Seoul and the countryside. The prevalence of isthmic spondylolisthesis was significantly correlated with occasional (r=0.81, P=0.015) and high-risk alcohol consumption (r=0.86, P=0.007).
CONCLUSIONS: The prevalence of lumbar spondylolysis among adolescent men has increased, whereas isthmic spondylolisthesis has shown a decline over a consecutive 8-year period. The trends in prevalence for both lumbar spondylosis and isthmic spondylolisthesis were similar across the regions in South Korea. Notably, there was a significant correlation between the prevalence of isthmic spondylolisthesis and the rate of alcohol consumption in adolescent men.
METHODS: A total of 2,666,277 Korean adolescent males were routinely examined at regional Military Manpower Administration offices. The data gathered from Military Manpower Administration were retrospectively collected to measure the prevalence and 95% confidence interval of lumbar spondylolysis and isthmic spondylolisthesis according to the year and region in South Korea. The Spearman correlation analysis was performed to assess the correlation between lumbar spondylolysis, isthmic spondylolisthesis, and several factors including height, weight, current smoking rate, and occasional and high-risk alcohol consumption.
RESULTS: The prevalence of spondylolysis per 10,000 individuals showed a gradual increasing trend from 2015 to 2022 On the contrary, the prevalence of isthmic spondylolisthesis per 10,000 individuals decreased over a consecutive 8-year period. There were no statistical differences in the prevalence of spondylolysis and isthmic spondylolisthesis between Greater Seoul and the countryside. The prevalence of isthmic spondylolisthesis was significantly correlated with occasional (r=0.81, P=0.015) and high-risk alcohol consumption (r=0.86, P=0.007).
CONCLUSIONS: The prevalence of lumbar spondylolysis among adolescent men has increased, whereas isthmic spondylolisthesis has shown a decline over a consecutive 8-year period. The trends in prevalence for both lumbar spondylosis and isthmic spondylolisthesis were similar across the regions in South Korea. Notably, there was a significant correlation between the prevalence of isthmic spondylolisthesis and the rate of alcohol consumption in adolescent men.
摘要：
目的：评估2015-2022年韩国青少年男性腰椎峡部裂和峡部裂性腰椎滑脱患病率的国家和地区趋势。
方法：共有2,666,277名韩国青少年男性在地区军事人力管理局（MMA）办公室进行了常规检查。根据韩国的年份和地区，回顾性收集了从MMA收集的数据，以测量腰椎峡部裂和峡部滑脱的患病率和95％置信区间（CI）。进行Spearman相关分析以评估腰椎峡部裂之间的相关性。峡部滑脱,和几个因素，包括身高，体重,目前的吸烟率，偶尔和高风险的饮酒。
结果：从2015年到2022年，每10,000个人的峡部裂患病率呈逐渐增加的趋势，相反，每10,000人的峡部裂性腰椎滑脱患病率在连续8年期间下降.大首尔地区和农村地区的峡部裂和峡部滑脱的患病率没有统计学差异。峡部裂性腰椎滑脱的患病率与偶发(r=0.81,P=0.015)和高危饮酒(r=0.86,P=0.007)显著相关。
结论：青少年男性腰椎峡部裂的患病率有所增加，而峡部裂性腰椎滑脱在连续8年期间表现出下降。在韩国各地区，腰椎病和峡部滑脱的患病率趋势相似。值得注意的是,在青少年男性中，峡部裂性腰椎滑脱的患病率与饮酒率之间存在显着相关性。
方法：共有2,666,277名韩国青少年男性在地区军事人力管理局（MMA）办公室进行了常规检查。根据韩国的年份和地区，回顾性收集了从MMA收集的数据，以测量腰椎峡部裂和峡部滑脱的患病率和95％置信区间（CI）。进行Spearman相关分析以评估腰椎峡部裂之间的相关性。峡部滑脱,和几个因素，包括身高，体重,目前的吸烟率，偶尔和高风险的饮酒。
结果：从2015年到2022年，每10,000个人的峡部裂患病率呈逐渐增加的趋势，相反，每10,000人的峡部裂性腰椎滑脱患病率在连续8年期间下降.大首尔地区和农村地区的峡部裂和峡部滑脱的患病率没有统计学差异。峡部裂性腰椎滑脱的患病率与偶发(r=0.81,P=0.015)和高危饮酒(r=0.86,P=0.007)显著相关。
结论：青少年男性腰椎峡部裂的患病率有所增加，而峡部裂性腰椎滑脱在连续8年期间表现出下降。在韩国各地区，腰椎病和峡部滑脱的患病率趋势相似。值得注意的是,在青少年男性中，峡部裂性腰椎滑脱的患病率与饮酒率之间存在显着相关性。
