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Athletic population with spondylolysis: review of outcomes following surgical repair or conservative management

Panteliadis, Pavlos; Nagra, Navraj S.; Edwards, Kimberley L.; Behrbalk, Eyal; Boszczyk, Bronek


Pavlos Panteliadis

Navraj S. Nagra

Kimberley L. Edwards

Eyal Behrbalk

Bronek Boszczyk



The study aims to critically review the outcomes associated with the surgical repair or conservative management of spondylolysis in athletes.


The English literature listed in MEDLINE/PubMed was reviewed to identify related articles using the term “spondylolysis AND athlete.” The criteria for studies to be included were management of spondylolysis in athletes, English text, and no year, follow-up, or study design restrictions. The references of the retrieved articles were also evaluated. The primary outcome was time to return to sport. This search yielded 180 citations, and 25 publications were included in the review.


Treatment methods were dichotomized as operative and nonoperative. In the nonoperative group, 390 athletes were included. A combination of bracing with physical therapy and restriction of activities was used. Conservative measures allowed athletes to return to sport in 3.7 months (weighted mean). One hundred seventy-four patients were treated surgically. The most common technique was Buck's, using a compression screw (91/174). All authors reported satisfactory outcomes. Time to return to play was 7.9 months (weighted mean). There were insufficient studies with suitably homogenous subgroups to conduct a meta-analysis.


There is no gold standard approach for the management of spondylolysis in the athletic population. The existing literature suggests initial therapy should be a course of conservative management with thoracolumbosacral orthosis brace, physiotherapy, and activity modification. If conservative management fails, surgical intervention should be considered. Two-sided clinical studies are needed to determine an optimal pathway for the management of athletes with spondylolysis.


Panteliadis, P., Nagra, N. S., Edwards, K. L., Behrbalk, E., & Boszczyk, B. (2016). Athletic population with spondylolysis: review of outcomes following surgical repair or conservative management. Global Spine Journal, 6(6),

Journal Article Type Article
Acceptance Date Jun 27, 2016
Publication Date Aug 10, 2016
Deposit Date Apr 7, 2017
Publicly Available Date Apr 7, 2017
Journal Global Spine Journal
Print ISSN 2192-5682
Electronic ISSN 2192-5690
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 6
Issue 6
Keywords Spondylolysis in athletes, Surgical treatment, Conservative treatment
Public URL
Publisher URL


athletic s-0036-1586743.pdf (300 Kb)

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