Spondylolysis is a leading cause of low back pain in pediatric and adolescent athletes. Unfortunately, families often encounter misinformation about spondylolysis, which can lead to unnecessary anxiety, excessive diagnostic testing, and sometimes even avoidable surgeries. There are opportunities to enhance the value of both the evaluation and management of spondylolysis. In this chapter, we explore the latest understanding of the causes of spondylolysis, as well as a value-based approach to diagnosis and treatment. With proper guidance and individualized treatment, most patients can return to their usual activities or sport at the level of activity they desire.

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Value-Based Care for Pediatric Patients with Spondylolysis

  • Kyriakos Chatzis,
  • Douglas Armstrong

摘要

Spondylolysis is a leading cause of low back pain in pediatric and adolescent athletes. Unfortunately, families often encounter misinformation about spondylolysis, which can lead to unnecessary anxiety, excessive diagnostic testing, and sometimes even avoidable surgeries. There are opportunities to enhance the value of both the evaluation and management of spondylolysis. In this chapter, we explore the latest understanding of the causes of spondylolysis, as well as a value-based approach to diagnosis and treatment. With proper guidance and individualized treatment, most patients can return to their usual activities or sport at the level of activity they desire.