{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T02:14:02Z","timestamp":1770776042906,"version":"3.50.0"},"reference-count":99,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Musculoskelet Radiol"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Spine sports stress injuries account for a significant amount of time loss at play in athletes, particularly if left unrecognized and allowed to progress. Spondylolysis makes up most of these stress injuries. This article focuses on spondylolysis, bringing together discussion from the literature on its pathomechanics and the different imaging modalities used in its diagnosis. Radiologists should be aware of the limitations and more importantly the roles of different imaging modalities in guiding and dictating the management of spondylolysis. Other stress-related injuries in the spine are also discussed including but not limited to pedicle fracture and apophyseal ring injury.<\/jats:p>","DOI":"10.1055\/s-0040-1709484","type":"journal-article","created":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T22:44:11Z","timestamp":1601333051000},"page":"262-276","source":"Crossref","is-referenced-by-count":5,"title":["Stress Injuries of the Spine in Sports"],"prefix":"10.1055","volume":"24","author":[{"given":"Jenn Shiunn","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Radiology, Derriford Hospital, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radhesh","family":"Lalam","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor N.","family":"Cassar-Pullicino","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prudencia N.M.","family":"Tyrrell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaspreet","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,9,28]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1097\/00007632-199104000-00009","article-title":"Disc degeneration and associated abnormalities of the spine in elite gymnasts. 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Yamashita","year":"2018","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"02","key":"ref25","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1097\/00007632-200201150-00012","article-title":"Stress reactions of the lumbar pars interarticularis: the development of a new MRI classification system","volume":"27","author":"G M Hollenberg","year":"2002","journal-title":"Spine"},{"issue":"02","key":"ref26","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s00256-004-0878-3","article-title":"Juvenile spondylolysis: a comparative analysis of CT, SPECT and MRI","volume":"34","author":"R S Campbell","year":"2005","journal-title":"Skeletal Radiol"},{"issue":"02","key":"ref27","doi-asserted-by":"crossref","first-page":"327","DOI":"10.2214\/ajr.152.2.327","article-title":"MR imaging of the pars interarticularis","volume":"152","author":"D W Johnson","year":"1989","journal-title":"AJR Am J 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Masci","year":"2006","journal-title":"Br J Sports Med"},{"issue":"02","key":"ref34","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1148\/radiology.180.2.1829845","article-title":"Low-back pain in adolescent athletes: detection of stress injury to the pars interarticularis with SPECT","volume":"180","author":"R D Bellah","year":"1991","journal-title":"Radiology"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/1749-799X-5-13","article-title":"The value of SPECT in the detection of stress injury to the pars interarticularis in patients with low back pain","volume":"5","author":"K Zukotynski","year":"2010","journal-title":"J Orthop Surg Res"},{"issue":"01","key":"ref36","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/01241398-200001000-00007","article-title":"Quantitative assessment with SPECT imaging of stress injuries of the pars interarticularis and response to bracing","volume":"20","author":"K Anderson","year":"2000","journal-title":"J Pediatr Orthop"},{"issue":"02","key":"ref37","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1302\/0301-620X.91B2.21256","article-title":"Conservative treatment of lumbar spondylolysis in childhood and adolescence: the radiological signs which predict healing","volume":"91","author":"K Sairyo","year":"2009","journal-title":"J Bone Joint Surg Br"},{"issue":"06","key":"ref38","doi-asserted-by":"crossref","first-page":"610","DOI":"10.3171\/2012.2.SPINE10914","article-title":"Conservative treatment for pediatric lumbar spondylolysis to achieve bone healing using a hard brace: what type and how long? 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The radiological outcome after conservative treatment","volume":"86","author":"K Fujii","year":"2004","journal-title":"J Bone Joint Surg Br"},{"issue":"12","key":"ref41","doi-asserted-by":"crossref","first-page":"3122","DOI":"10.1007\/s00586-017-5081-z","article-title":"Low-intensity pulsed ultrasound is effective for progressive-stage lumbar spondylolysis with MRI high-signal change","volume":"26","author":"H Arima","year":"2017","journal-title":"Eur Spine J"},{"issue":"06","key":"ref42","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1007\/s00586-004-0696-2","article-title":"The value of combining single photon emission computerised tomography and computerised tomography in the investigation of spondylolysis","volume":"13","author":"P L Gregory","year":"2004","journal-title":"Eur Spine J"},{"issue":"03","key":"ref43","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1302\/0301-620X.69B3.2953729","article-title":"Bone scintigraphy in symptomatic spondylolysis","volume":"69","author":"M van den Oever","year":"1987","journal-title":"J Bone Joint Surg Br"},{"issue":"02","key":"ref44","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/BPO.0b013e3181977fc5","article-title":"Nonoperative treatment of spondylolysis and grade I spondylolisthesis in children and young adults: a meta-analysis of observational studies","volume":"29","author":"G Klein","year":"2009","journal-title":"J Pediatr Orthop"},{"issue":"06","key":"ref45","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1111\/j.1600-0838.2004.00379.x","article-title":"Returning athletes with severe low back pain and spondylolysis to original sporting activities with conservative treatment","volume":"14","author":"J Iwamoto","year":"2004","journal-title":"Scand J Med Sci Sports"},{"issue":"04","key":"ref46","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1177\/0363546504269035","article-title":"Athletes with unilateral spondylolysis are at risk of stress fracture at the contralateral pedicle and pars interarticularis: a clinical and biomechanical study","volume":"33","author":"K Sairyo","year":"2005","journal-title":"Am J Sports Med"},{"issue":"01","key":"ref47","doi-asserted-by":"crossref","first-page":"e000529","DOI":"10.1136\/bmjsem-2019-000529","article-title":"Incidence and prevalence of lumbar stress fracture in English County Cricket fast bowlers, association with bowling workload and seasonal variation","volume":"5","author":"P Alway","year":"2019","journal-title":"BMJ Open Sport Exerc Med"},{"issue":"07","key":"ref48","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1097\/00007632-199306000-00021","article-title":"Stress fracture of the pedicle. A late complication of posterolateral lumbar fusion","volume":"18","author":"P A Robertson","year":"1993","journal-title":"Spine"},{"issue":"11","key":"ref49","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1016\/j.crad.2010.06.011","article-title":"Diagnostic accuracy of magnetic resonance imaging versus computed tomography in stress fractures of the lumbar spine","volume":"65","author":"A K Ganiyusufoglu","year":"2010","journal-title":"Clin Radiol"},{"issue":"02","key":"ref50","doi-asserted-by":"crossref","first-page":"429","DOI":"10.2214\/ajr.164.2.7839983","article-title":"Lumbar spondylolysis: reactive marrow changes seen in adjacent pedicles on MR images","volume":"164","author":"J L Ulmer","year":"1995","journal-title":"AJR Am J Roentgenol"},{"issue":"11","key":"ref51","first-page":"895","article-title":"The nature and significance of vertebral osteochondritis [Abridged]","volume":"48","author":"R W Butler","year":"1955","journal-title":"Proc R Soc Med"},{"issue":"06","key":"ref52","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1016\/j.clinimag.2012.01.031","article-title":"Imaging features of posterior limbus vertebrae","volume":"36","author":"P Y Huang","year":"2012","journal-title":"Clin Imaging"},{"issue":"08","key":"ref53","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1097\/00007632-199108000-00017","article-title":"Limbus lumbar vertebral fractures in 27 adolescents and adults","volume":"16","author":"N E Epstein","year":"1991","journal-title":"Spine"},{"issue":"05","key":"ref54","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1097\/00004728-199009000-00022","article-title":"MR recognition of posterior lumbar vertebral ring fracture","volume":"14","author":"W E Rothfus","year":"1990","journal-title":"J Comput Assist Tomogr"},{"issue":"06","key":"ref55","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1007\/s00586-005-1026-z","article-title":"Three-dimensional finite element analysis of the pediatric lumbar spine. 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Is the etiology different in the thoracic and lumbar spine?","volume":"21","author":"L Sw\u00e4rd","year":"1993","journal-title":"Am J Sports Med"},{"issue":"24","key":"ref61","doi-asserted-by":"crossref","first-page":"2601","DOI":"10.1097\/00007632-199512150-00001","article-title":"1995 Volvo Award in clinical sciences. Determinants of lumbar disc degeneration. A study relating lifetime exposures and magnetic resonance imaging findings in identical twins","volume":"20","author":"M C Batti\u00e9","year":"1995","journal-title":"Spine"},{"issue":"07","key":"ref62","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1055\/s-0031-1299752","article-title":"COL11A1 gene is associated with limbus vertebra in gymnasts","volume":"33","author":"K Koyama","year":"2012","journal-title":"Int J Sports Med"},{"issue":"21","key":"ref63","doi-asserted-by":"crossref","first-page":"1944","DOI":"10.1097\/BRS.0b013e3181d534f3","article-title":"ISSLS prize winner: prevalence, determinants, and association of Schmorl nodes of the lumbar spine with disc degeneration: a population-based study of 2449 individuals","volume":"35","author":"F P Mok","year":"2010","journal-title":"Spine"},{"issue":"04","key":"ref64","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1007\/s00586-009-1238-8","article-title":"Schmorl's nodes distribution in the human spine and its possible etiology","volume":"19","author":"G Dar","year":"2010","journal-title":"Eur Spine J"},{"issue":"02","key":"ref65","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1148\/radiology.219.2.r01ma21368","article-title":"Schmorl nodes of the thoracic and lumbar spine: radiographic-pathologic study of prevalence, characterization, and correlation with degenerative changes of 1,650 spinal levels in 100 cadavers","volume":"219","author":"C W Pfirrmann","year":"2001","journal-title":"Radiology"},{"issue":"02","key":"ref66","doi-asserted-by":"crossref","first-page":"131","DOI":"10.4184\/asj.2013.7.2.131","article-title":"Acute Schmorl node in dorsal spine: an unusual cause of a sudden onset of severe back pain in a young female","volume":"7","author":"S Abu-Ghanem","year":"2013","journal-title":"Asian Spine J"},{"issue":"02","key":"ref67","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1177\/028418519003100202","article-title":"Radiologic abnormalities of the thoraco-lumbar spine in athletes","volume":"31","author":"M Hellstr\u00f6m","year":"1990","journal-title":"Acta Radiol"},{"issue":"01","key":"ref68","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1007\/s00167-017-4545-3","article-title":"Disc degeneration on MRI is more prevalent in young elite skiers compared to controls","volume":"26","author":"W A Witwit","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"04","key":"ref69","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1177\/03635465010290041101","article-title":"Radiographic abnormalities in the thoracolumbar spine of young elite skiers","volume":"29","author":"F Rachbauer","year":"2001","journal-title":"Am J Sports Med"},{"issue":"09","key":"ref70","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1007\/s00167-009-0767-3","article-title":"Back pain and MRI changes in the thoraco-lumbar spine of top athletes in four different sports: a 15-year follow-up study","volume":"17","author":"A Baranto","year":"2009","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"11","key":"ref71","doi-asserted-by":"crossref","first-page":"2115","DOI":"10.1007\/s00586-012-2325-9","article-title":"Schmorl's nodes","volume":"21","author":"K A Kyere","year":"2012","journal-title":"Eur Spine J"},{"issue":"09","key":"ref72","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1007\/s00167-005-0032-3","article-title":"Back pain and degenerative abnormalities in the spine of young elite divers: a 5-year follow-up magnetic resonance imaging study","volume":"14","author":"A Baranto","year":"2006","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"04","key":"ref73","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/BF02107901","article-title":"Variations in zygapophyseal joint orientation and level of transition at the thoracolumbar junction. Preliminary survey using computed tomography","volume":"10","author":"K P Singer","year":"1988","journal-title":"Surg Radiol Anat"},{"issue":"02","key":"ref74","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/00007632-198003000-00011","article-title":"Articular tropism and stability of the lumbar spine","volume":"5","author":"B M Cyron","year":"1980","journal-title":"Spine"},{"issue":"12","key":"ref75","doi-asserted-by":"crossref","first-page":"E427","DOI":"10.1097\/BRS.0b013e3181a2ea0a","article-title":"A study on the structural properties of the lumbar endplate: histological structure, the effect of bone density, and spinal level","volume":"34","author":"Y Hou","year":"2009","journal-title":"Spine"},{"issue":"128","key":"ref76","first-page":"5","article-title":"The classic: kyphosis dorsalis juvenilis","author":"H W Scheuermann","year":"1977","journal-title":"Clin Orthop Relat Res"},{"key":"ref77","doi-asserted-by":"crossref","first-page":"973716","DOI":"10.1155\/2013\/973716","article-title":"The mode of inheritance of Scheuermann's disease","volume":"2013","author":"A M Zaidman","year":"2013","journal-title":"BioMed Res Int"},{"issue":"279","key":"ref78","first-page":"303","article-title":"Effects of repetitive strains on vertebral end plates in young rats","author":"M Revel","year":"1992","journal-title":"Clin Orthop Relat Res"},{"issue":"05","key":"ref79","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1097\/00007632-199105000-00004","article-title":"Vertebral alterations in Scheuermann's kyphosis","volume":"16","author":"P V Scoles","year":"1991","journal-title":"Spine"},{"key":"ref80","volume-title":"Scheuermann's Juvenile Kyphosis: Clinical Appearances, Radiography, Aetiology, and Prognosis","author":"K H S\u00f8rensen","year":"1964"},{"issue":"01","key":"ref81","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1302\/0301-620X.61B1.154522","article-title":"Scheuermann's disease or spinal osteochondrosis: its frequency and relationship with spondylosis","volume":"61","author":"A Stoddard","year":"1979","journal-title":"J Bone Joint Surg Br"},{"issue":"03","key":"ref82","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.jbspin.2013.11.012","article-title":"Scheuermann's disease: an update","volume":"81","author":"C Palazzo","year":"2014","journal-title":"Joint Bone Spine"},{"issue":"05","key":"ref83","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1007\/s00586-011-2075-0","article-title":"Untreated Scheuermann's disease: a 37-year follow-up study","volume":"21","author":"L Ristolainen","year":"2012","journal-title":"Eur Spine J"},{"issue":"01","key":"ref84","first-page":"70","article-title":"Scheuermann's kyphosis","volume":"11","author":"R M Ali","year":"1999","journal-title":"Curr Opin Pediatr"},{"issue":"19","key":"ref85","doi-asserted-by":"crossref","first-page":"1690","DOI":"10.1097\/BRS.0b013e31829ee8b7","article-title":"Scheuermann disease: evaluation of radiological criteria and population prevalence","volume":"38","author":"A A Makurthou","year":"2013","journal-title":"Spine"},{"issue":"09","key":"ref86","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1097\/00007632-198711000-00015","article-title":"Lumbar Scheuermann's. 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