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Low-Back Pain in Athletes by Christopher M. Bono J Bone Joint Surg Am Volume 86(2):382-396 February 1, 2004 ©2004 by The Journal of Bone and Joint Surgery,

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Presentation on theme: "Low-Back Pain in Athletes by Christopher M. Bono J Bone Joint Surg Am Volume 86(2):382-396 February 1, 2004 ©2004 by The Journal of Bone and Joint Surgery,"— Presentation transcript:

1 Low-Back Pain in Athletes by Christopher M. Bono J Bone Joint Surg Am Volume 86(2):382-396 February 1, 2004 ©2004 by The Journal of Bone and Joint Surgery, Inc.

2 Anular tears (arrow) appear as regions of increased signal intensity on magnetic resonance images through the intervertebral disc. Christopher M. Bono J Bone Joint Surg Am 2004;86:382- 396 ©2004 by The Journal of Bone and Joint Surgery, Inc.

3 Lumbar disc degeneration is a common radiographic finding in athletes. Christopher M. Bono J Bone Joint Surg Am 2004;86:382- 396 ©2004 by The Journal of Bone and Joint Surgery, Inc.

4 Defects from stress lesions can occur at various locations within the vertebra: 1 = pedicle-body junction (previous site of neurocentral synchondrosis), 2 = pedicle (retrosomatic), 3 = pars interarticularis (isthmic), 4 = retroisthmic, 5 = paraspinous proce... Christopher M. Bono J Bone Joint Surg Am 2004;86:382- 396 ©2004 by The Journal of Bone and Joint Surgery, Inc.

5 Preoperative T1-weighted magnetic resonance image of the lumbar spine of a fifteen-year-old female high-school football player with spondylolisthesis. Christopher M. Bono J Bone Joint Surg Am 2004;86:382- 396 ©2004 by The Journal of Bone and Joint Surgery, Inc.

6 Fig. 4-B Reduction was achieved through a posterior approach with use of interbody distractors, followed by a posterior lumbar interbody fusion with use of titanium mesh cages packed with autograft in the L5-S1 disc space. Christopher M. Bono J Bone Joint Surg Am 2004;86:382- 396 ©2004 by The Journal of Bone and Joint Surgery, Inc.

7 Substantial pain relief after infiltration of the pars with a local anesthetic suggests that the spondylolytic lesion is the primary pain source. Christopher M. Bono J Bone Joint Surg Am 2004;86:382- 396 ©2004 by The Journal of Bone and Joint Surgery, Inc.

8 Christopher M. Bono J Bone Joint Surg Am 2004;86:382- 396 ©2004 by The Journal of Bone and Joint Surgery, Inc.

9 Christopher M. Bono J Bone Joint Surg Am 2004;86:382- 396 ©2004 by The Journal of Bone and Joint Surgery, Inc.

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