Revista de Medicina Desportiva (English) September 2018 - Page 21

The return to sports activity in spon- dylolysis and low-grade spondylolis- thesis varies between 6-12 months, with controversy being the return to contact sports practice (eg. football and hockey) and sports with spinal hyperextension such as gymnastics and dance. 2 Conclusion There is no gold standard approach for spondylolysis and low-grade spondylolisthesis in athletes. The literature suggests an initial con- servative intervention with modifica- tion of physical activity, kinesiological techniques and trunk orthosis. The treatment and return to sport activity should be individualized according to the severity of the injury, associated symptoms and modality practiced. The authors declare no conflicts of interest. Correspondence to: Inês Mendes Ribeiro, Hospital Prof. Dou- tor Fernando Fonseca, EPE. inesrbrmendes@yahoo.com Bibliography 1. Mora-de Sambricio, A., Garrido-Stra- tenwerth. E., Spondylolysis and spondylo- listhesis in children and adolescents. Revista Española de Cirugía Ortopédica y Trauma- tología. 2014; 58(6):395-406. 2. Bouras, T., Korovessis, P., Management of spondylolysis and low-grade spondylolisthe- sis in fine athletes. A comprehensive review. European Journal of Orthopaedic Surgery & Traumatology. 2015; 25(1):167-175. 3. Tsirikos, A.I., Garrido, E.G., Spondylolysis and spondylolisthesis in children and adolescentes. Bone & Joint Journal. 2010; 92(6):751-759. 4. Cavalier, Ralph, et al. Spondylolysis and spondylolisthesis in children and adolescents: I. Diagnosis, natural history, and nonsurgi- cal management. Journal of the American Academy of Orthopaedic Surgeons. 2006; 14(7):417-424. 5. Kurd, Mark F., et al. Nonoperative treatment of symptomatic spondylolysis. Clinical Spine Surgery. 2007; 20(8):560-564. Restante Bibliografia em: www.revdesportiva.pt (A Revista Online) 6. Klein, G., Mehlman, C. T.; Mccarthy, M., Nonoperative treatment of spondylolysis and grade I spondylolisthesis in children and young adults: a meta-analysis of observational studies. Journal of Pediatric Orthopaedics. 2009; 29(2):146-156. 7. Panteliadis, et al. Athletic population with spondylolysis: review of outcomes following surgical repair or conservative management. Global spine journal. 2016; 6(6):615-625. 8. Iwamoto, J.; Takeda, T.; Wakano, K. Retur- ning athletes with severe low back pain and spondylolysis to original sporting activities with conservative treatment. Scandinavian journal of medicine & science in sports. 2004;14(6):346-351. 9. Sairyo, K., Toshinori S., and Natsuo Y., Conservative treatment of lumbar spondyloly- sis in childhood and adolescence. Bone & Joint Journal. 2009; 91(2):206-209. 10. Sairyo, Koichi, et al. Conservative treatment for pediatric lumbar spondylolysis to achieve bone healing using a hard brace: what type and how long? Clinical article. Journal of Neuro- surgery: Spine .2012;16(6):610-614. 11. Fujii, K., et al. Union of defects in the pars interarticularis of the lumbar spine in children and adolescents: the radiological outcome after conservative treatment. Bone & Joint Journal. 2004; 86(2):225-231. 12. Leonidou, et al. Treatment for spondylolysis and spondylolisthesis in children. Journal of Orthopaedic Surgery. 2015; 23(3):379-382. Revista de Medicina Desportiva informa september 2018 · 19