Spondylolysis in an Adolescent Soccer Player

Case Presentation

Austin Sports Med. 2017; 2(1): 1013.

Spondylolysis in an Adolescent Soccer Player

Naila Babayeva, Seyma Serife Torgutalp, Gürhan Dönmez and Feza Korkusuz*

Department of Sports Medicine, Hacettepe University, Turkey

*Corresponding author: Feza Korkusuz, Department of Sports Medicine, Hacettepe University, Turkey

Received: April 15, 2017; Accepted: May 02, 2017; Published: May 09, 2017


Soccer is a popular team sport with 14% incidence of back pain. The most common cause of low back pain in soccer players is spondylolysis [1]. In some cases where low back pain is persisting for longer than two weeks, young patients with history of athletic activity should be considered for spondylolysis. During the treatment of spondylolysis in adolescent players requires monitoring of pain and obtaining plain radiographs. Even with appropriate examination and X-ray imaging, one can easily overlook spondylolysis. Spondylolysis should be kept in mind as a diagnosis in adolescent athletes with low back pain and advanced radiographic imaging as evaluation method should be considered [2].

Herein, we report a case of spondylolysis an adolescent soccer player with low back pain persisting longer than two weeks, with no history of trauma. In order to remind that spondylolysis might have been missed in young patients, where immature spine and is more susceptible to injury.

Case Presentation

A 14-year-old professional soccer player applied to sports medicine department with complain of low back pain, which begun two weeks before. He hasn’t reported any previous back trauma or pain for the last year. The patient experienced back pain after increased workouts with trainings. He experienced dull low back pain, aggravated during extension, without presence of radicular sings. He had no history of previous treatments or using medication.

Clinical examination revealed pain with forced lumbar extension, bilateral paravertebral muscle tenderness at the lumbar area during palpation and normal neurological examination of extremities. As diagnostic tools, plain radiographs and then magnetic resonance imaging (MRI) were preceded. MRI revealed spondylolysis of the bilateral L4 pars interarticularis without lysthesis (Figure 1). Patient’s conservative treatment consisted of advising to use nonsteroidal antiinflammatory drugs (NSAIDs), not to participate in high impacted sports activities and also he was placed in lumbosacral orthosis for 4 weeks.

Citation:Babayeva N, Torgutalp SS, Dönmez G and Korkusuz F. Spondylolysis in an Adolescent Soccer Player. Austin Sports Med. 2017; 2(1): 1013.