职业足球运动员合并腰椎管狭窄症的两阶段手术治疗。

IF 1.3 4区 医学 Q3 REHABILITATION
Dmitriy Dzukaev, Anton Borzenkov, Georgiy Malyakin, Islam Muzyshev, Yuri Kuklin, Alina Reutova, Eduard Bezuglov
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引用次数: 0

摘要

简介精英级别的橄榄球(美式足球)运动对脊柱的要求极高。对于外科医生、内科医生和临床医生来说,如何选择治疗腰椎管狭窄症合并脊柱滑脱症和前突的方法具有挑战性:本病例的研究对象是一名来自俄罗斯顶级足球俱乐部的 28 岁精英足球运动员。患者主诉腰部持续疼痛并向右大腿后侧放射,腰椎活动受限:诊断:患者被诊断为 L5 至 S1 水平椎管退行性狭窄、L4 至 L5 椎间盘突出、脊柱溶解和 L5 椎体前突:2021年5月,对合并腰椎病变的患者实施了两阶段手术治疗。第一阶段的手术治疗包括 L4 至 L5 和 L5 至 S1 水平的椎管和椎间孔减压,以及用刚性椎弓根螺钉进行后路融合。第二阶段是在骨缺损出现愈合迹象时,将刚性椎弓根螺钉更换为动态半刚性椎弓根螺钉。第一阶段手术后 6 个月,该运动员重返球队训练,第一阶段手术后 1 年,第二阶段手术治疗后仅 30 天,他就能无限制地参加精英级别的足球比赛。截至上一次手稿修订时,该运动员仍在继续他的职业生涯:该方法有望成为治疗精英运动员腰椎合并病变的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Two-Stage Surgical Treatment of Combined Lumbar Spine Stenosis in a Professional Football Player.

Introduction: Playing football (American soccer) at the elite level places extremely high demands on the spine. The choice of treatment for lumbar spinal canal stenosis combined with spondylolysis and anterolisthesis is challenging for surgeons, physicians, and clinicians.

Case presentation: A 28-year-old elite football player from the leading Russian football club is the focus of this case study. Patient complained of constant low back pain radiating to the posterior surface of the right thigh and limited mobility in the lumbar spine.

Diagnosis: The patient was diagnosed with degenerative stenosis of the spinal canal at the L5 to S1 level, L4 to L5 disc herniation, spondylolysis, and anterolisthesis of L5 vertebra.

Management and outcomes: Two-stage surgery of combined lumbar spine pathology was performed in May 2021. The first stage of surgical treatment included the spinal and foraminal canals decompression at the L4 to L5 and L5 to S1 levels, as well as posterior fusion with rigid pedicle screws. The second stage involved the subsequent replacement of the rigid to dynamic semirigid rods as signs of the bone defect healing appeared. The athlete returned to team training 6 months after the first stage of surgery and was able to play football at the elite level without restrictions 1 year after the first stage and just 30 days following the second stage of surgical treatment. The athlete continues his career as of the last manuscript's revision.

Conclusions: This method holds potential as an effective approach in the treatment of combined lumbar spine pathology among elite athletes.

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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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