{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T06:20:56Z","timestamp":1785824456169,"version":"3.56.0"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Musculoskelet Radiol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>To highlight the expanding role of interventional radiology in managing high-level athletes by presenting advanced minimally invasive procedures that extend beyond traditional infiltration techniques, aiming to accelerate recovery and preserve athletic performance.<\/jats:p>\n                  <jats:p>This review explores three main interventional procedures currently implemented in elite sports medicine: (1) percutaneous computed tomography\u2013guided screw fixation for isthmic spondylolysis, (2) vertebroplasty for posttraumatic vertebral fractures, and (3) percutaneous lumbar diskectomy under computed tomography and fluoroscopic guidance. Each technique is detailed from patient selection and procedural setup to postoperative outcomes, with emphasis on imaging guidance, anatomical precision, and rapid rehabilitation.<\/jats:p>\n                  <jats:p>In high-level athletes, computed tomography\u2013guided percutaneous screw fixation for isthmic spondylolysis provides immediate biomechanical stabilization, pain relief, and early return to sport, with the option of hardware removal. Vertebroplasty in selected A1-type fractures enables full weight-bearing within 48\u2009hours and eliminates the need for bracing. Percutaneous lumbar diskectomy offers precise decompression with minimal disruption, yielding symptom resolution within days and preserving spinal integrity. Across all procedures, interventional radiology techniques have shown low complication rates, excellent tolerance under local anesthesia, and consistent return to preinjury performance levels.<\/jats:p>\n                  <jats:p>Interventional radiology now plays a central role in elite sports medicine, offering targeted, image-guided, and minimally invasive alternatives to traditional surgery. These techniques align with the demands of high-performance athletes, ensuring fast recovery, sustained functionality, and long-term musculoskeletal health. As interventional radiology continues to evolve, will become an essential pillar in the multidisciplinary care of professional athletes.<\/jats:p>","DOI":"10.1055\/a-2737-7141","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T23:36:26Z","timestamp":1771630586000},"page":"043-050","source":"Crossref","is-referenced-by-count":1,"title":["Role of Interventional Radiology in Managing High-Level Athletes: Beyond Conventional Infiltration Techniques"],"prefix":"10.1055","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5043-7126","authenticated-orcid":false,"given":"Nicolas","family":"Amoretti","sequence":"additional","affiliation":[{"name":"Department of Interventional Musculoskeletal Radiology, University Hospital of Nice, Universit\u00e9 C\u00f4te d'Azur, Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul-Alexis","family":"Ranc","sequence":"additional","affiliation":[{"name":"Department of Interventional Musculoskeletal Radiology, University Hospital of Nice, Universit\u00e9 C\u00f4te d'Azur, Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rapha\u00ebl","family":"Amoretti","sequence":"additional","affiliation":[{"name":"Department of Interventional Musculoskeletal Radiology, University Hospital of Nice, Universit\u00e9 C\u00f4te d'Azur, Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Isaac","sequence":"additional","affiliation":[{"name":"School of Biomedical Engineering and Imaging Sciences, Saint Thomas' Hospital, King's College, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1097\/01241398-198707060-00001","article-title":"Long-term clinical and radiological follow-up of spondylolysis and spondylolisthesis","volume":"7","author":"H Saraste","year":"1987","journal-title":"J Pediatr Orthop"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"699","DOI":"10.2106\/00004623-198466050-00008","article-title":"The natural history of spondylolysis and spondylolisthesis","volume":"66","author":"B E Fredrickson","year":"1984","journal-title":"J Bone Joint Surg Am"},{"key":"ref3","first-page":"371","article-title":"Spondylolisthesis","volume":"54","author":"H W Meyerding","year":"1932","journal-title":"Surg Gynecol Obstet"},{"issue":"236","key":"ref4","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/00003086-198811000-00025","article-title":"Brace treatment for symptomatic spondylolisthesis","author":"D F Bell","year":"1988","journal-title":"Clin Orthop Relat Res"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1097\/01241398-198909010-00007","article-title":"Nonoperative treatment for painful adolescent 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Beutler","year":"2003","journal-title":"Spine"},{"issue":"297","key":"ref9","first-page":"65","article-title":"Isthmic spondylolisthesis in symptomatic and asymptomatic subjects, epidemiology, and natural history with special reference to disk abnormality and mode of treatment","author":"K Osterman","year":"1993","journal-title":"Clin Orthop Relat Res"},{"issue":"13","key":"ref10","doi-asserted-by":"crossref","first-page":"1711","DOI":"10.1097\/00007632-200007010-00016","article-title":"Surgery versus conservative management in adult isthmic spondylolisthesis\u2014a prospective randomized study: part 1","volume":"25","author":"H M\u00f6ller","year":"2000","journal-title":"Spine"},{"issue":"12","key":"ref11","doi-asserted-by":"crossref","first-page":"2841","DOI":"10.1007\/s00330-012-2536-9","article-title":"Computed tomography- and fluoroscopy-guided percutaneous screw fixation of low-grade isthmic spondylolisthesis in adults: a new technique","volume":"22","author":"N 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