背景:腰椎峡部裂,年轻运动员腰背痛的常见原因,据报道,男性发病率较高。然而,男性发病率较高的原因尚不清楚。本研究旨在调查青少年腰椎峡部裂患者性别之间的流行病学差异。
方法:对诊断为腰椎峡部裂的197名男性和64名女性进行了回顾性研究。这些患者于2014年4月至2020年3月访问了我们的机构,他们的主要主诉是腰痛,他们被随访到治疗结束。我们调查了腰椎之间的关联,他们的背景因素,并分析其治疗效果。
结果:男性隐性脊柱裂(SBO)患病率较高(p=0.0026),更多的骨髓水肿病变(p=0.0097),L5椎骨的病变(p=0.021)多于女性。流行的体育学科是棒球,足球,男性田径,还有排球,篮球,女子垒球。辍学率,诊断时的年龄,骨愈合率,和治疗期间没有性别差异。
结论:腰椎峡部裂在男性比女性更常见。SBO,骨髓水肿,L5病变在男性中更常见,体育纪律在性别之间有所不同。
BACKGROUND: Lumbar spondylolysis, a common identifiable cause of low back pain in young athletes, reportedly has a higher incidence rate in males. However, the reason for its higher incidence in males is not clear. This study aimed to investigate the epidemiological differences between the sexes in adolescent patients with lumbar spondylolysis.
METHODS: A retrospective study was conducted in 197 males and 64 females diagnosed with lumbar spondylolysis. These patients visited our institution from April 2014 to March 2020 with their main complaint being low back pain, and they were followed-up until the end of their treatment. We investigated associations between lumbar spondylosis, their background factors, and characteristics of the lesions and analyzed their treatment results.
RESULTS: Males had a higher prevalence of spina bifida occulta (SBO) (p = 0.0026), more lesions with bone marrow edema (p = 0.0097), and more lesions in the
L5 vertebrae (p = 0.021) than females. The popular sports disciplines were baseball, soccer, and track and field in males, and volleyball, basketball, softball in females. The dropout rate, age at diagnosis, bone union rate, and treatment period did not differ between the sexes.
CONCLUSIONS: Lumbar spondylolysis was more common in males than in females. SBO, bone marrow edema, and
L5 lesions were more frequent in males, and sports discipline varied between the sexes.