CommentaryExpert Opinion and Controversies in Sports and Musculoskeletal Medicine: The Diagnosis and Treatment of Spondylolysis in Adolescent Athletes
Section snippets
Diagnosis
Some authors advocate CT alone, nuclear imaging (specifically SPECT) followed by CT, or MRI as either the first line or definitive diagnostic approach.2, 6, 7, 8, 9 There is also disagreement on the type of diagnostic data needed to optimize treatment.2, 7, 9 Few studies have compared all of the available imaging modalities.
Treatment
The medical literature describes widely divergent approaches to treatment. Although almost all include a component of rest from aggravating activities, there are substantial
Conclusions
We have presented our opinions on how to best manage athletes with suspected lesions of the pars. Further study of this problem is clearly needed to establish more stringent evidence-based guidelines. Other interpretations of the available data are clearly possible.
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