No Significant Change in MRI Abnormalities or Back Pain Prevalence in the Thoraco-Lumbar Spine of Young Elite Skiers Over a 2-Year Follow-Up

被引:2
|
作者
Witwit, Wisam A. [1 ,2 ]
Hebelka, Hanna [1 ,3 ,4 ]
Aminoff, Anna Swaerd [1 ]
Abrahamson, Josefin [1 ,2 ]
Todd, Carl [1 ]
Baranto, Adad [1 ,2 ]
机构
[1] Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Gothenburg, Sweden
[2] Sahlgrens Univ Hosp, Dept Orthopaed, Gothenburg, Sweden
[3] Yale Univ, Dept Neuroradiol, New Haven, CT USA
[4] Sahlgrens Univ Hosp, Dept Radiol, Gothenburg, Sweden
来源
OPEN ACCESS JOURNAL OF SPORTS MEDICINE | 2022年 / 13卷
关键词
spinal column; intervertebral disc; athletes; Pfirrmann grade; RADIOLOGIC ABNORMALITIES; DISC-DEGENERATION; OVERUSE INJURIES; PELVIC INCIDENCE; ASSOCIATION; SPORTS; CAM;
D O I
10.2147/OAJSM.S366548
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Background: Young athletes are at increasing risk for spinal column injuries due to overloading the spine with excessive sports activities, with potential development of complications later in life.Purpose: The purpose of this 2-year follow-up study of young elite skiers and non-athletes was to investigate any potential change in the thoraco-lumbar findings on MIRI and to outline any change in back pain prevalence with continuing sporting activity and age. Study Design: Longitudinal cross-sectional study.Methods: MIRI of the thoraco-lumbar spine was performed on 30 skiers (mean age 20 years, female 43%) and 16 non-athletes (mean age 19, female 75%), available for the 2-year follow-up. The intervertebral discs were evaluated for signal, height, bulge/herniation, and additionally according to Pfirrmann classification, and the endplates were graded according to endplate defect score. Any of the following disc findings was defined as disc degenerative change: reduced signal, reduced height, bulge, or herniation. All participants answered a specific back pain questionnaire.Results: No significant difference in spinal column abnormalities, nor back pain, was found between baseline and 2-year follow-up in neither skiers nor controls. There was significantly higher prevalence of disc degenerative changes in skiers (73%) than in non-athletes (44%, p=0.05). Skiers (63%) had significantly more Pfirrmann grade >= 3 discs compared to non-athletes (25%) (p=0.03). There was no significant difference in number of endplates with score >= 4 between skiers and non-athletes (50% vs 38%, p=0.40) nor in lifetime prevalence of back pain between skiers (46%) and non-athletes (40%).Conclusion: There was no significant change over time of the spinal column MIRI abnormalities, nor back pain prevalence, during a 2-year follow-up of skiers and non-athletes. Young skiers had significantly higher prevalence of spine abnormalities compared with non-athletes. There was no significant difference of the back pain lifetime prevalence in skiers compared with non-athletes.
引用
收藏
页码:69 / 76
页数:8
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